Organization
MID-NEBRASKA INDIVIDUAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CAMPBELL (CEO)
(402) 462-5107
Entity
Organization
Contact information
Practice address
207 N CENTRAL AVE, SUPERIOR, NE 68978-1736
(402) 879-3235
Mailing address
216 N DENVER AVE, HASTINGS, NE 68901-5138
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/31/2024
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