| NPI | 1689209769 |
|---|---|
| Former Legal Business Name | LINCOLN JOINT WELLNESS CARE LLC |
| Entity Type | Organization |
| Authorized Contact | DAVE SELF Owner 402-235-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2022-05-18 |