Individual
BLAKE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3717 27TH ST APT B31, COLUMBUS, NE 68601-2239
(531) 230-9791
Mailing address
3717 27TH ST APT B31, COLUMBUS, NE 68601-2239
(531) 230-9791
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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