Provider Demographics
NPI:1952311664
Name:NEMAHA COUNTY TRAINING CENTER, INC.
Entity Type:Organization
Organization Name:NEMAHA COUNTY TRAINING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-336-6116
Mailing Address - Street 1:12 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:KS
Mailing Address - Zip Code:66538-1900
Mailing Address - Country:US
Mailing Address - Phone:785-336-6116
Mailing Address - Fax:785-336-2634
Practice Address - Street 1:12 S 11TH ST
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:KS
Practice Address - Zip Code:66538-1900
Practice Address - Country:US
Practice Address - Phone:785-336-6116
Practice Address - Fax:785-336-2634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services