Individual
JACOB BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 DOUGLAS ST, WAYNE, NE 68787-1045
(605) 366-0394
Mailing address
46781 VALERIE PL, TEA, SD 57064-8042
(605) 366-0394
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NE
372600000X
Adult Companion
—
NE
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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