Individual
TERRI GROTELUSCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47169 295 AVE # 504, HUMPHREY, NE 68642-4105
(402) 920-0162
Mailing address
PO BOX 504, HUMPHREY, NE 68642-0504
(402) 920-0162
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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