Individual provider · Type 1 NPI

Bounyaveth Phachomphon

Chore Provider · South Sioux City, NE

NPI number 1477413011 Active

Practice location

320 Broadmoor Dr
South Sioux City, NE 68776-3806

Specialties and licenses

TaxonomyCodeLicense
Chore Provider Primary 372500000XNone listed

Chore Provider: An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

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About NPI 1477413011

Bounyaveth Phachomphon's National Provider Identifier is 1477413011, issued on Nov 17, 2025. The primary taxonomy on file is Chore Provider (372500000X), and the practice location is in South Sioux City, NE. The record was last updated on Nov 17, 2025.