Organization
EDC OF DENVER, LLC
Active
Other names
EDCare Omaha
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN LYNNE SULLIVAN (EXECUTIVE ASSISTANT)
(720) 889-4227
Entity
Organization
Contact information
Practice address
11218 JOHN GALT BLVD STE 204, OMAHA, NE 68137-2358
(402) 408-0294
Mailing address
11218 JOHN GALT BLVD STE 204, OMAHA, NE 68137-2358
(402) 408-0294
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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