Organization
THE AMBASSADOR LINCOLN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA K SCHROEDER (CHIEF EXECUTIVE OFFICER)
(402) 873-7791
Entity
Organization
Contact information
Practice address
4405 NORMAL BLVD, LINCOLN, NE 68506-5551
(402) 488-2355
(402) 488-2779
Mailing address
4405 NORMAL BLVD, LINCOLN, NE 68506-5551
(402) 873-8507
(402) 873-7244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
504002
NE
225X00000X
Occupational Therapist
504002
NE
235Z00000X
Speech-Language Pathologist
504002
NE
314000000X
Skilled Nursing Facility
Primary
504002
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0659797
—
IA
Enumeration date
07/29/2006
Last updated
08/17/2018
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