Organization
JACY'S GRACE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMMY KAUP RN, OWNER (ADMINISTRATOR)
(402) 350-3235
Entity
Organization
Contact information
Practice address
47752 904TH RD, BUTTE, NE 68722-3049
(402) 350-3235
Mailing address
47752 904TH RD, BUTTE, NE 68722-3049
(402) 350-3235
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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