Individual
TALLULAH N SHILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 MAIN ST, SHUBERT, NE 68437-6061
(402) 801-1187
Mailing address
506 MAIN ST, SHUBERT, NE 68437-6061
(402) 801-1187
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NE
372600000X
Adult Companion
Primary
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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