NPI Index

MANDI WILSON

Day Training, Developmentally Disabled Services

Active Individual
NPI: 1154130649

Practice Address

1233 SHADOW MOSS LN
Lincoln, NE 68521

Phone: (402) 802-1544

Specialties

Specialty Code Primary License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
In Home Supportive Care 253Z00000X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X No -
Chore Provider 372500000X No -
Adult Companion 372600000X No -
Day Training/Habilitation Specialist 373H00000X No -
Community/Behavioral Health 251S00000X No -
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child 385HR2060X No -
Day Training, Developmentally Disabled Services 251C00000X Yes -

Frequently Asked Questions

NPI 1154130649 is the National Provider Identifier for MANDI WILSON, a Day Training, Developmentally Disabled Services provider located in Lincoln, NE. This NPI was enumerated on December 30, 2024.
MANDI WILSON practices at 1233 SHADOW MOSS LN, Lincoln, NE 68521.

Quick Facts

NPI
1154130649
Type
Individual
Enumerated
Dec 30, 2024
Last Updated
Dec 30, 2024

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