Organization
COMPLETE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALCOLM LEAL CASTANEDA (MANAGER)
(308) 675-1931
Entity
Organization
Contact information
Practice address
908 N HOWARD AVE, SUITE 108, GRAND ISLAND, NE 68803-3556
(308) 675-1931
Mailing address
908 N HOWARD AVE, SUITE 108, GRAND ISLAND, NE 68803-3556
(308) 675-1931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110175
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
39208
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026009700
—
NE
Enumeration date
12/18/2015
Last updated
12/18/2015
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