Organization
NOVENA MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAKE HINTON (PRESIDENT)
(877) 206-0997
Entity
Organization
Contact information
Practice address
8518 S 104TH ST, LA VISTA, NE 68128-3236
(877) 206-0997
Mailing address
P.O. BOX 460635, PAPILLION, NE 68046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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