Individual
SAGBO R LAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2604 TULIP LN, BELLEVUE, NE 68147-2474
(402) 298-0197
Mailing address
2604 TULIP LN, BELLEVUE, NE 68147-2474
(402) 298-0197
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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