| Shift Wellness Llc | |
|
9308 Polk St Omaha NE 68127-4451 | |
| (402) 319-4559 | |
| Not Available |
| Full Name | Shift Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9308 Polk St, Omaha, Nebraska |
| Authorized Official Name and Position | Tamara Sue Dwyer (OWNER) |
| Authorized Official Contact | 4023194559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shift Wellness Llc 9308 Polk St Omaha NE 68127-4451 Ph: (402) 319-4559 | Shift Wellness Llc 9308 Polk St Omaha NE 68127-4451 Ph: (402) 319-4559 |
| NPI Number | 1215756788 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215756788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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