# STACI BEDNAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184305054
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | 96373 | NE | — |
| 310400000X | Assisted Living Facility | REGISTRY1651 | NE | Yes |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | 3947 | NE | — |

## Other

- **Enumeration date:** 07/25/2023
- **Last updated:** 07/25/2023