Organization Name: | THE AMBASSADOR REHAB & WELLNESS CENTER, INC. |
NPI Number: | 1649285578 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY J JUILFS (PRESIDENT - OWNER) |
Mailing Address: | 1240 N 19th St Ste # 2 Nebraska City |
State: | NE US |
Postal Code: | 684101119 |
Phone Number: | 4028734838 |
Fax Number: | 4028734117 |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 08/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |