| NPI | 1134450935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA R MCCULLOUGH CEO 402-457-5761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE 3302) |
| Additional Taxonomies | 251S00000X (Licence: NE 603) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |