The Independence House Coddington

NPI #1528362027 in Lincoln, Nebraska

Provider Information

NPI Number: 1528362027
Entity Type: Organization
Organization Name: The Independence House Coddington
Subpart: Yes (part of a larger organization)
Parent Organization: EMERALD CARE CO.
Primary Specialty: Alzheimer Center (Dementia Center)
Enumeration Date: Dec 27, 2010
Last Updated: Nov 26, 2012

Practice Location

Address: 5500 S CODDINGTON AVE
City: Lincoln
State: Nebraska
ZIP Code: 68523-9152
Phone: (402) 420-0329

Authorized Official

Name: MS. MARSHA E. STORK
Title: PRESIDENT
Phone: (402) 475-7755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Alzheimer Center (Dementia Center)	311500000X	Primary

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