Organization

Broadstep Academy - Nebraska Inc

Developmental Disabilities Clinic/Center in Lincoln, NE(View on Map)

Legal Business Name

Broadstep Academy - Nebraska Inc

NPI Number

1124617311

NPI Type

Organization

Enumeration Date

01/13/2021

Specialties

(Taxonomies)

Code

261QD1600X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1037
BROADSTEP ACADEMY - NEBRASKA INC

City

Kingstree
Lincoln

State

SC
NE

Postal Code

29556-1037
68516

Country

US
US

Telephone Number

(843) 355-4664
(414) 240-5914

Authorized Official

Name

David Hicks

Title or Position

STATE DIRECTOR

Telephone Number

(815) 543-5926

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

Therap

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

5820 Elkcrest DrLincoln, NE685161442US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/13/2021

Provider Address