Individual
ALEXANDRIA AGUALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 N 3RD ST APT 188, DAVID CITY, NE 68632-1271
(531) 338-0601
Mailing address
1125 N 3RD ST APT 188, DAVID CITY, NE 68632-1271
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
NE
172A00000X
Driver
—
NE
174200000X
Meals Provider
—
NE
177F00000X
Lodging Provider
—
NE
343900000X
Non-emergency Medical Transport (VAN)
—
NE
372500000X
Chore Provider
—
NE
3747P1801X
Personal Care Attendant
—
NE
374U00000X
Home Health Aide
—
NE
385H00000X
Respite Care
—
NE
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NE
385HR2065X
Child Physical Disabilities Respite Care
—
NE
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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