Individual
CHARLES JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 SW 27TH ST, LINCOLN, NE 68522-4485
(402) 601-5193
Mailing address
1821 SW 27TH ST, LINCOLN, NE 68522-4485
(402) 601-5193
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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