Individual provider · Type 1 NPI

Phanomvan Pongdara

Personal Care Attendant · Lincoln, NE

NPI number 1205626595 Active

Practice location

5030 Locust St
Lincoln, NE 68516-1247

Call (952) 452-1202 Map

Mailing address

5030 Locust Street, Lincoln, NE 68516
Lincoln, NE 68516-1247

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

2 other providers at this address

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About NPI 1205626595

Phanomvan Pongdara's National Provider Identifier is 1205626595, issued on May 9, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Lincoln, NE. The record was last updated on May 9, 2025.