Marquisha A Chandler
Individual provider Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bennington, NE
NPI 1265239792 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1265239792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Practice address
- 9008 N 156TH Ave
Bennington, NE 68007-8400 - Phone
- (402) 972-7824
- NPI assigned
- Mar 3, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NE | Yes |
Addresses
Primary practice location
9008 N 156TH Ave
Bennington, NE 68007-8400
Mailing address
9008 N 156TH Ave
Bennington, NE 68007-8400
Phone (402) 972-7824
Other providers in Bennington, NE
- Camp-Grimit Petersen LLC
- Chelanda Carlisle
- Megan Case
- Ma Leonor Cervantes Calderon
- Sove Cha
- Jennifer Christensen
- Brooklyn Christian
- Alasia Clark
- Martina A Clarke-Davis
- Chelsea Clarke
All providers in Bennington, NE · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.