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Organization

THE AMBASSADOR OF OMAHA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIM JUILIFFS (OWNER)
(402) 393-6500
Entity
Organization

Contact information

Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 393-6500
Mailing address
1540 N 72ND ST, OMAHA, NE 68114-1924

Taxonomy

Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
271
NE

Other

Enumeration date
04/06/2011
Last updated
04/06/2011
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