Organization
RUSH AND WILKS HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIEVIA QUATREA RUSH-WILKS NURSE PRACTITIONER (OWNER)
(402) 219-4633
Entity
Organization
Contact information
Practice address
5309 NW 3RD ST, LINCOLN, NE 68521-5301
(402) 219-4633
(531) 248-4666
Mailing address
5309 NW 3RD ST, LINCOLN, NE 68521-5301
(402) 219-4633
(531) 248-4666
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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