Organization Name: | LIFEARTS INTEGRATED HEALTH CENTER PC |
NPI Number: | 1497811665 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE M HOWARD (OWNER) |
Mailing Address: | 546 Avenue A Suite 2 Plattsmouth |
State: | NE US |
Postal Code: | 680481993 |
Phone Number: | 4022962196 |
Fax Number: | 4022962197 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 03/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 111219 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |