Healthcare Provider Details
I. General information
NPI: 1295664720
Provider Name (Legal Business Name): REBEKAH LOU BURFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
605 2ND ST
GERING NE
69341-3806
US
IV. Provider business mailing address
PO BOX 1327
SCOTTSBLUFF NE
69363-1327
US
V. Phone/Fax
- Phone: 308-436-5247
- Fax:
- Phone: 308-632-8016
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: