| Life Enhancement Services, Llc | |
|
2221 N 24th St Omaha NE 68110-2200 | |
| (704) 342-9595 | |
| Not Available |
| Full Name | Life Enhancement Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2221 N 24th St, Omaha, Nebraska |
| Authorized Official Name and Position | Herbert Gray (CEO) |
| Authorized Official Contact | 7043429595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services, Llc 500 E. Morehead St Suite 110 Charlotte NC 28202 Ph: (704) 342-9595 | Life Enhancement Services, Llc 2221 N 24th St Omaha NE 68110-2200 Ph: (704) 342-9595 |
| NPI Number | 1770885840 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770885840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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