Marquisha A Chandler
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bennington, NE. Individual provider (NPI-1).
NPI number1265239792
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1265239792
- Entity type
- Individual (NPI-1)
- Name
- Marquisha A Chandler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2025
- Certification date
- Feb 26, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | NE | Yes |
Practice location
9008 N 156th AveBennington, NE 68007-8400
Phone 402-972-7824
Mailing address
9008 N 156th AveBennington, NE 68007-8400
Phone 402-972-7824
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