Omaha Countryhouse LLC
NPI #1093116998 in Omaha, Nebraska
Provider Information
- NPI Number
- 1093116998
- Entity Type
- Organization
- Organization Name
- Omaha Countryhouse LLC
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Sep 10, 2014
- Last Updated
- May 22, 2025
Practice Location
Authorized Official
- Name
- STACY L RANDELS
- Title
- VP
- Phone
- (531) 800-3364
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
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