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Organization
BROADSTEP ACADEMY - NEBRASKA INC
Active
Organization
BROADSTEP ACADEMY - NEBRASKA INC
Active
Parent organization
BROADSTEP ACADEMY - NEBRASKA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROADSTEP ACADEMY - NEBRASKA INC
Authorized official
DAVID HICKS (STATE DIRECTOR)
(815) 543-5926
Entity
Organization
Contact information
Practice address
BROADSTEP ACADEMY - NEBRASKA INC, 5820 ELKCREST DR, LINCOLN, NE 68516
(414) 240-5914
Mailing address
PO BOX 1037, KINGSTREE, SC 29556-1037
(843) 355-4664
(843) 355-4672
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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