IndividualActive
Marcy Wahlgren
NPI 1063389955 · Child Physical Disabilities Respite Care · Gothenburg, NE
Provider details
- NPI number
- 1063389955
- Entity type
- Individual
- Primary specialty
- Child Physical Disabilities Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
Practice location
2611 Avenue M
Gothenburg, NE 69138-2553
Phone: (308) 529-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2611 Avenue M
Gothenburg, NE 69138-2553
Registry dates
- Enumerated
- 2025-10-23
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.