Individual
MELISSA A ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 STATE ST, TABLE ROCK, NE 68447-3060
(402) 862-5721
Mailing address
410 STATE ST, TABLE ROCK, NE 68447-3060
(402) 914-0319
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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