Individual
MR. TABBOTT JOHN SAUDER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11011 Q ST, OMAHA, NE 68137-3700
(308) 641-5267
Mailing address
160065 OUDERKIRK DR, GERING, NE 69341-7311
(308) 641-5267
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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