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 |