| Renovatis | |
|
16920 Patterson Dr Omaha NE 68135-2623 | |
| (402) 320-5808 | |
| (402) 502-4319 |
| Full Name | Renovatis |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16920 Patterson Dr, Omaha, Nebraska |
| Authorized Official Name and Position | Heather Nina Atwood Heredia (OWNER CEO) |
| Authorized Official Contact | 4023205808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovatis 16920 Patterson Dr Omaha NE 68135-2623 Ph: (402) 320-5808 | Renovatis 16920 Patterson Dr Omaha NE 68135-2623 Ph: (402) 320-5808 |
| NPI Number | 1053691956 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 08/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053691956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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