Individual
DAVID LEROY AXDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3506 17TH ST, COLUMBUS, NE 68601-4106
(402) 710-3253
Mailing address
3506 17TH ST, COLUMBUS, NE 68601-4106
(402) 710-3253
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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