Provider Demographics
NPI:1184516726
Name:WISNER COMMUNITY SENIOR CENTER
Entity type:Organization
Organization Name:WISNER COMMUNITY SENIOR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:LARAE
Authorized Official - Last Name:BREITKREUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-529-3252
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:WISNER
Mailing Address - State:NE
Mailing Address - Zip Code:68791-0066
Mailing Address - Country:US
Mailing Address - Phone:402-529-3252
Mailing Address - Fax:
Practice Address - Street 1:1006 AVENUE E
Practice Address - Street 2:
Practice Address - City:WISNER
Practice Address - State:NE
Practice Address - Zip Code:68791-2248
Practice Address - Country:US
Practice Address - Phone:402-529-3252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals