| NPI | 1285987735 |
|---|---|
| Other Name | PONCA HILLS HEALTH & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD LEE Chief Executive Officer 402-734-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-23 |