Organization
MISSION FIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD TUCKER (PARTNER)
(561) 685-2775
Entity
Organization
Contact information
Practice address
1104 3RD AVE, NEBRASKA CITY, NE 68410-2011
(402) 873-1130
Mailing address
1104 3RD AVE, NEBRASKA CITY, NE 68410-2011
(402) 873-1130
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
04/16/2021
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