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NPI Code Detail

MEDICARE: ABBEY DALE

MEDICARE: ABBEY DALE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantNE

General Provider Information

NPI Number : 1255269098
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBEY DALE
Provider Business Mailing Address
First Line : 7630 PARK DR APT 201
Second Line :
City : RALSTON
State : NE
Zip : 68127-3956
Country : US
Telephone Number : 402-682-6599
Fax Number :
Provider Business Practice Location Address
First Line : 1820 HILLCREST DR
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-3636
Country : US
Telephone Number : 402-682-6599
Fax Number : 402-682-6599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ ABBEY DALE ” Practice Location

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