Compassionate Memory Care 1 Inc

NPI 1154620078 - Alzheimer Center (Dementia Center) - 311500000X

NPI Details
NPI 1154620078
Enumeration Date 03/17/2011
Last Updated 03/17/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LISA KAY LISA
Position PRESIDENT
Phone (402) 391-1499
Fax (402) 391-9774
Practice Location
2402 N 102ND ST
OMAHA NE, 68134-5530, US
Phone (402) 391-1499
Fax (402) 391-9774
Business Location
14805 DAYTON ST
OMAHA NE, 68137-5373, US
Phone (402) 612-6789
Fax (402) 894-1760
Toxanomy
Taxonomy Code 311500000X
License State Nebraska
License Number ALF317
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According to our database, Compassionate Memory Care 1 Inc NPI is 1154620078, taxonomy code is 311500000X and license number is ALF317, license state is located at Nebraska. Compassionate Memory Care 1 Inc physically located at 2402 N 102nd St, Omaha NE, 68134-5530. NPI Number 1033115704 has the healthcare provider type.

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1154620078 NPI number is provided on an as is basis without warranty of any kind. 1154620078 is maintained by the National Plan & Provider Enumeration System. The contents of Compassionate Memory Care 1 Inc are for informational purposes only.