MEDICARE: DAMIEN BLEZEK

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1851271134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMIEN BLEZEK

Provider Business Mailing Address
First Line	:	2702 18TH ST
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-4317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 18TH ST
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-4317
Country	:	US
Telephone Number	:	402-276-6643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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Directions to “ DAMIEN BLEZEK ” Practice Location

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