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NPI 1952112351

NPI 1952112351 : WESLEY CENTER INC. : NORFOLK, NE

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General NPI Number Information
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    NPI Number           |    1952112351
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESLEY CENTER INC. 
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Dates
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    Enumeration Date     |    01/15/2025
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    Last Update Date     |    01/15/2025
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Provider Practice Location Address
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    Address Line         |    500 W PHILLIP AVE 
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    City                 |    NORFOLK
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    State                |    NE
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    Zip                  |    68701-5252
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    Country              |    US
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    Telephone            |    402-371-7434
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    Fax                  |    402-371-3995
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Provider Business Mailing Address
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    Address Line         |    500 W PHILLIP AVE 
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    City                 |    NORFOLK
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    State                |    NE
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    Zip                  |    68701-5252
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    Country              |    US
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    Telephone            |    402-371-7434
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    Fax                  |    402-371-3995
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MRS. MICHELE RENEE LAWSON 
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    Credential           |    
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    Telephone            |    402-371-7434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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