Organization
SHILOH CENTER ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WHITTEN (MANAGING MEMBER)
(402) 208-8859
Entity
Organization
Contact information
Practice address
114 E MILITARY AVE, FREMONT, NE 68025-5066
(402) 208-8859
(402) 721-9170
Mailing address
114 E MILITARY AVE, FREMONT, NE 68025-5066
(402) 208-8859
(402) 721-9170
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310400000X
—
NE
Enumeration date
02/23/2018
Last updated
02/23/2018
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