Organization
RE-NEW INSTITUTE LLC
Active
Other names
Re-new Institute LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LOSEKE ABLETT DO (PRESIDENT)
(402) 905-0630
Entity
Organization
Contact information
Practice address
18324 CHEYENNE RD, OMAHA, NE 68136
(402) 905-0630
Mailing address
18324 CHEYENNE RD, OMAHA, NE 68136
(402) 905-0630
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306009758
NPI
NE
Enumeration date
10/26/2020
Last updated
10/26/2020
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