Individual
DESTREE MAXINE STUTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 W 11TH ST, HASTINGS, NE 68901-3903
(308) 258-1936
Mailing address
302 S BELLEVUE AVE, HASTINGS, NE 68901-5812
(308) 258-1936
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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