Individual
JACI LYN LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 TIMCHICK PL, LINCOLN, NE 68521-0002
(308) 346-4211
Mailing address
2519 TIMCHICK PL, LINCOLN, NE 68521-0002
(308) 346-4211
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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