Individual
EDGAR MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 P AVE, KEARNEY, NE 68847-4003
(308) 746-3652
Mailing address
1319 E 45TH ST APT K5, KEARNEY, NE 68847-4161
(308) 746-3652
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
73608402
NE
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
73608402
NE
385HR2065X
Child Physical Disabilities Respite Care
73608402
NE
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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