Jennifer Bendorf

Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Wilcox, NE

NPI 1972413698 · NPPES record last updated Sep 8, 2026

Key facts

NPI
1972413698
Entity type
Individual (NPI type 1)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Practice address
104 N Clegg St
Wilcox, NE 68982-3001
Phone
(308) 999-0364
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NE Yes

Addresses

Primary practice location

104 N Clegg St
Wilcox, NE 68982-3001

Mailing address

104 N Clegg St
Wilcox, NE 68982-3001
Phone (308) 999-0364

Other providers in Wilcox, NE

All providers in Wilcox, NE · Developmentally Disabled Services Day Training Agency in Nebraska

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.