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Organization

ASSURED COMPANIONS AT HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAYLISHA GRAVES (OWNER)
(402) 507-9797
Entity
Organization

Contact information

Practice address
2327 MCCORKINDALE PLZ APT 102, BELLEVUE, NE 68147-1589
(407) 507-9797
Mailing address
2327 MCCORKINDALE PLZ APT 102, BELLEVUE, NE 68147-1589
(402) 507-9797

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/25/2025
Last updated
04/21/2025
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