Edc Of Denver, LLC
Psychiatric Hospital in Omaha, NE. Organization (NPI-2).
NPI number1316529068
StatusActive
Last updated in NPPESApr 22, 2021
Details
- NPI
- 1316529068
- Entity type
- Organization (NPI-2)
- Legal business name
- Edc Of Denver, LLC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2021
- Certification date
- Apr 22, 2021
- Last updated
- Apr 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | – | – | Yes |
Other names
- Edcare Omaha (Doing Business As)
Practice location
11218 John Galt Blvd Ste 204Omaha, NE 68137-2358
Phone 402-408-0294
Mailing address
11218 John Galt Blvd Ste 204Omaha, NE 68137-2358
Phone 402-408-0294
Authorized official
Dawn Lynne Sullivan
Executive Assistant
7208894227
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