Individual
GAYLE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7325 S 70TH ST, LA VISTA, NE 68128-2087
(402) 657-1113
Mailing address
7325 S 70TH ST, LA VISTA, NE 68128-2087
(402) 657-1113
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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