Individual provider · Type 1 NPI
Marcy Wahlgren
Child Physical Disabilities Respite Care · Gothenburg, NE
NPI number
1063389955
Active
Practice location
2611 Avenue M
Gothenburg, NE 69138-2553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Physical Disabilities Respite Care Primary | 385HR2065X | None listed |
Child Physical Disabilities Respite Care: A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
Other child physical disabilities respite care providers in Gothenburg
About NPI 1063389955
Marcy Wahlgren's National Provider Identifier is 1063389955, issued on Oct 23, 2025. The primary taxonomy on file is Child Physical Disabilities Respite Care (385HR2065X), and the practice location is in Gothenburg, NE. The record was last updated on Oct 23, 2025.