Organization
NORTHSTAR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY M NIEMANN (ACCOUNTING SUPPORT SPECIALIST)
(402) 750-7018
Entity
Organization
Contact information
Practice address
1202 E 14TH ST, WAYNE, NE 68787-1247
(402) 375-2881
Mailing address
PO BOX 280, WAYNE, NE 68787-0280
(402) 750-7018
(402) 375-2703
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080419376
—
NE
Enumeration date
12/13/2021
Last updated
02/13/2025
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