Individual provider · Type 1 NPI
Anna M. Krusemark, INDEPENDENT PROVIDER
Child Intellectual and/or Developmental Disabilities Respite Care · Pender, NE
NPI number
1932039179
Active
Practice location
770 12th Rd
Pender, NE 68047-4102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | 158385 (NE) |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1932039179
Anna M. Krusemark, INDEPENDENT PROVIDER's National Provider Identifier is 1932039179, issued on May 20, 2026. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Pender, NE. The record was last updated on May 20, 2026.