Morgan Daberkow, COTA/L

Individual provider Active NPI Nursing Facility/Intermediate Care Facility · Neligh, NE

NPI 1124448360 · NPPES record last updated Apr 25, 2014

Key facts

NPI
1124448360
Entity type
Individual (NPI type 1)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
License
992 (NE)
Practice address
1100 T St
Neligh, NE 68756-1027
Phone
(402) 887-5428
NPI assigned
Apr 25, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
992NEMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 992 NE
Alzheimer Center (Dementia Center) 311500000X 992 NE
Nursing Facility/Intermediate Care Facility 313M00000X 992 NE Yes
Skilled Nursing Facility 314000000X 992 NE

Addresses

Primary practice location

1100 T St
Neligh, NE 68756-1027

Mailing address

85155 513TH Ave
Clearwater, NE 68726-5274
Phone (402) 307-0258

Other providers in Neligh, NE

All providers in Neligh, NE · Nursing Facility/Intermediate Care Facility in Nebraska

Sources for this page

Verify at the official NPI Registry.