Organization
ANDORF-BLUM LTD
Active
Organization
ANDORF-BLUM LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY HAUMONT (OFFICE MANAGER)
(402) 476-7557
Entity
Organization
Contact information
Practice address
4444 SOUTH 86TH ST., SUITE 102, LINCOLN, NE 68526-9253
(402) 476-7557
(402) 476-9912
Mailing address
4444 SOUTH 86TH ST., SUITE 102, LINCOLN, NE 68526-9253
(402) 476-7557
(402) 476-9912
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
8
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025262900
—
NE
01
—
11590132
CAQH
NE
Enumeration date
05/06/2014
Last updated
09/26/2023
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