Organization
DEVINE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH NELSON APRN (OWNER)
(402) 382-3555
Entity
Organization
Contact information
Practice address
843 E 4TH ST STE A, AINSWORTH, NE 69210
(402) 382-3555
(402) 382-3556
Mailing address
843 E 4TH ST, STE A, AINSWORTH, NE 69210-1207
(402) 382-3555
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
111402
NE
Other
Enumeration date
01/09/2017
Last updated
08/07/2018
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