# CONCORDIA WOUND CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile Wound Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619712155
- **Authorized official:** MR. ARNOLDO ANTONIO ALEMAN II (MANAGING MEMBER)
- **Authorized official phone:** (414) 550-6002

## Contact information

- **Practice address:** 1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
- **Practice address phone:** (414) 323-0260
- **Mailing address:** 5750 GRANDSCAPE BLVD APT 11402, THE COLONY, TX 75056-6996
- **Mailing address phone:** (414) 323-0260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/26/2024
- **Last updated:** 06/26/2024