Individual
MR. VERN E BRACKEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8106 N 170TH ST, BENNINGTON, NE 68007-3351
(402) 968-5464
Mailing address
8106 N 170TH ST, BENNINGTON, NE 68007-3351
(402) 968-5464
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
16228613
NE
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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