Individual
HAVIN PROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 NORRIS AVE, MC COOK, NE 69001-2035
(308) 340-7077
Mailing address
1007 N JEFFERS ST, NORTH PLATTE, NE 69101-3028
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
07/01/2025
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