Individual
WADE SAMUEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 ARAPAHOE AVE, HASTINGS, NE 68901-2880
(402) 469-5628
Mailing address
1506 ARAPAHOE AVE, HASTINGS, NE 68901-2880
(402) 469-5628
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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