Organization
SOUTH CENTRAL DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE PREITAUER (AGENCY ADMINISTRATOR)
(308) 784-4222
Entity
Organization
Contact information
Practice address
821 J ST, COZAD, NE 69130-1708
(308) 784-4222
(308) 784-4231
Mailing address
PO BOX 367, COZAD, NE 69130-0367
(308) 784-4222
(308) 784-4231
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40797497
—
NE
Enumeration date
10/10/2019
Last updated
01/22/2025
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