Individual
CAROL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N 5TH ST, SARGENT, NE 68874-6122
(308) 279-1998
Mailing address
PO BOX 264, SARGENT, NE 68874-0264
(308) 279-1998
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NE
372600000X
Adult Companion
Primary
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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