Organization Name: | COMPER CARE OUTPATIENT CENTER |
NPI Number: | 1487013306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANILO PEREZ (CO-OWNER) |
Mailing Address: | 205 S 23rd St Ste 1 Plattsmouth |
State: | NE US |
Postal Code: | 680482900 |
Phone Number: | 4022984555 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2016 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |