Organization
SOURCENET, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA LOUISE GROOVER (ADMINISTRATOR)
(402) 933-7886
Entity
Organization
Contact information
Practice address
1934 S 48TH AVE, OMAHA, NE 68106-3217
(402) 933-7886
(402) 933-7886
Mailing address
1934 S 48TH AVE, OMAHA, NE 68106-3217
(402) 933-7886
(402) 933-7886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NE
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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