Jeremiah Wayne Leek
Chore Provider in Sidney, NE. Individual provider (NPI-1).
NPI number1609663129
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1609663129
- Entity type
- Individual (NPI-1)
- Name
- Jeremiah Wayne Leek
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2025
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
2750 11th AveSidney, NE 69162-4035
Phone 505-659-6720
Mailing address
2750 11th AveSidney, NE 69162-4035
Phone 505-659-6720
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All 54 Chore Provider providers in Sidney · All 583 providers in Sidney
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