Individual
JACKSON CREEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15800 SUMMIT PLZ, BENNINGTON, NE 68007-1970
(531) 299-3040
Mailing address
15800 SUMMIT PLZ, BENNINGTON, NE 68007-1970
(531) 299-3040
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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