Individual
LINDA FAYE SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49170 873RD RD, ONEILL, NE 68763-5768
(402) 340-1800
Mailing address
49170 873RD RD, ONEILL, NE 68763-5768
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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