Individual
GRACE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 GOLD STRIKE DR APT 2, NORFOLK, NE 68701-2959
(402) 340-9961
Mailing address
109 GOLD STRIKE DR APT 2, NORFOLK, NE 68701-2959
(402) 340-9961
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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