Mandi Marie Wilson
Mandi Marie Wilson is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lincoln, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 9
Practice location Address checks out
1233 Shadow Moss LnLincoln, NE 68521-8600
Phone: (402) 802-1544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Chore Provider | Taxonomy 372500000X |
| Adult Companion | Taxonomy 372600000X |
| Day Training/Habilitation Specialist | Taxonomy 373H00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X |
Record details
| NPI number | 1154130649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2024 |
| Last updated in NPPES | December 30, 2024 |
| Certification date | December 30, 2024 |
| Mailing address | 1233 Shadow Moss Ln, Lincoln, NE 68521-8600 |
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