Individual provider · Type 1 NPI

Mayra L. Licon Valenzuela

Adult Companion · Grand Island, NE

NPI number 1144125170 Active

Practice location

4848 Fort Kearney Rd
Grand Island, NE 68801-9032

Call (308) 383-2016 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1144125170

Mayra L. Licon Valenzuela's National Provider Identifier is 1144125170, issued on Oct 9, 2026. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Grand Island, NE. The record was last updated on Oct 9, 2026.