Wilson, Mandi Marie

Wilson, Mandi Marie is an sole proprietor health care provider with primary practice located at 1233 Shadow Moss Ln , Lincoln NE 68521-8600. She recently has 9 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist, Agencies / Community/Behavioral Health, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Wilson, Mandi Marie can be contacted via phone (402) 802-1544.

Contact Information

Primary practice address
1233 Shadow Moss Ln Lincoln NE 68521-8600
Phone: (402) 802-1544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Agencies / Community/Behavioral Health 251S00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1154130649
LBN Legal business name Wilson, Mandi Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2024
Last updated Dec 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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