# BROADSTEP ACADEMY - NEBRASKA INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BROADSTEP ACADEMY - NEBRASKA INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124617311
- **Legal business name:** BROADSTEP ACADEMY - NEBRASKA INC
- **Authorized official:** DAVID HICKS (STATE DIRECTOR)
- **Authorized official phone:** (815) 543-5926

## Contact information

- **Practice address:** BROADSTEP ACADEMY - NEBRASKA INC, 5820 ELKCREST DR, LINCOLN, NE 68516
- **Practice address phone:** (414) 240-5914
- **Mailing address:** PO BOX 1037, KINGSTREE, SC 29556-1037
- **Mailing address phone:** (843) 355-4664
- **Mailing address fax:** (843) 355-4672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 01/13/2021