Heritage Of Wahoo, Inc

NPI 1467561100 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1467561100
Enumeration Date 08/29/2006
Last Updated 07/02/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK DEAN JACK
Position PRESIDENT
Phone (402) 443-3737
Fax (402) 443-5867
Practice Location
1400 MARK DR
WAHOO NE, 68066-4023, US
Phone (402) 443-3737
Fax (402) 443-5867
Business Location
1400 MARK DR
WAHOO NE, 68066-4023, US
Phone (402) 443-3737
Fax (402) 443-5867
Toxanomy
Taxonomy Code 314000000X
License State Nebraska
License Number 694005
Remove 1467561100 NPI Number
 

According to our database, Heritage Of Wahoo, Inc NPI is 1467561100, taxonomy code is 314000000X and license number is 694005, license state is located at Nebraska. Heritage Of Wahoo, Inc physically located at 1400 Mark Dr, Wahoo NE, 68066-4023. NPI Number 1033115704 has the healthcare provider type.

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1467561100 NPI number is provided on an as is basis without warranty of any kind. 1467561100 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Of Wahoo, Inc are for informational purposes only.