| NPI | 1093116998 |
|---|---|
| Doing Business As | OMAHA COUNTRYHOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | STACY L RANDELS VP 531-800-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: NE 2988) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2025-05-22 |