Provider Demographics
NPI:1013720267
Name:ALJAFARI, BAKER
Entity type:Individual
Prefix:
First Name:BAKER
Middle Name:
Last Name:ALJAFARI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E ROBERTS ST
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-1646
Mailing Address - Country:US
Mailing Address - Phone:901-606-6133
Mailing Address - Fax:
Practice Address - Street 1:7562 UPTON GREY LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5694
Practice Address - Country:US
Practice Address - Phone:402-904-7433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home