Individual
JASON WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W SYCAMORE, WESTERN, NE 68464-2298
(402) 432-6505
Mailing address
PO BOX 486, WESTERN, NE 68464-0486
(402) 432-6505
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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