Lori Sue Eccleston
Individual provider Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Gretna, NE
NPI 1881408441 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1881408441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
- Practice address
- 207 Wesgaye St
Gretna, NE 68028-7849 - Phone
- (402) 616-6159
- NPI assigned
- Feb 4, 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 |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Yes |
Addresses
Primary practice location
207 Wesgaye St
Gretna, NE 68028-7849
Mailing address
207 Wesgaye St
Gretna, NE 68028-7849
Phone (402) 616-6159
Other providers in Gretna, NE
- Matthew Barton Donelan
- Maya Douchey
- Drsgm LLC
- Katherine Duggins
- Dynamic Physical Therapy LLC
- Philip Andrew Ehly
- Miranda Erickson
- David Evans
- Amanda Everhart
- Kierstyn Evers
All providers in Gretna, NE · Child Intellectual and/or Developmental Disabilities Respite Care in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 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.