Individual provider · Type 1 NPI

Kyle Edwin Wallace

Adult Companion · Blair, NE

NPI number 1619781408 Active

Practice location

1927 Lincoln St
Blair, NE 68008-1934

Call (531) 209-6113 Map

Other practice locations

10737 Brentwood Dr Apt 2B, La Vista, NE 68128-4737 · (531) 209-6113

Specialties and licenses

Taxonomy	Code	License
Adult Companion Primary	372600000X	None 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.

Other adult companion providers in Blair

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About NPI 1619781408

Kyle Edwin Wallace's National Provider Identifier is 1619781408, issued on Feb 3, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Blair, NE. The record was last updated on Feb 13, 2025.