Organization
PROVIDENCE MEDICAL CENTER
Active
Other names
Providence Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE R HAGLUND (CEO)
(402) 375-3800
Entity
Organization
Contact information
Practice address
803 PROVIDENCE RD STE 103, WAYNE, NE 68787-1590
(402) 375-4288
Mailing address
1200 PROVIDENCE RD, WAYNE, NE 68787-1212
(402) 375-3800
(402) 375-7989
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HOSPICE 29
NE
Other
Enumeration date
02/06/2007
Last updated
03/11/2025
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