| NPI | 1295058733 |
|---|---|
| Doing Business As | FRED LEROY HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD LEE Chief Executive Officer 402-734-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE SATC174) |
| Additional Taxonomies | 251S00000X (Licence: NE SATC173) |
| 251S00000X (Licence: NE SATC157) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |