Individual
DIANE MENCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 S 184TH ST, ELKHORN, NE 68022-5755
(580) 554-1530
Mailing address
913 S 184TH ST, ELKHORN, NE 68022-5755
(580) 554-1530
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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