Organization
TIME FOR BABY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA A MUCKLOW (OWNER)
(308) 237-3044
Entity
Organization
Contact information
Practice address
2304 CENTRAL AVE, KEARNEY, NE 68847-5349
(308) 237-3044
Mailing address
2304 CENTRAL AVE, KEARNEY, NE 68847-5349
(308) 237-3044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
171W00000X
NE
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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