Provider First Line Business Practice Location Address:
7909 N 30TH STREET
Provider Second Line Business Practice Location Address:
CHI HEALTH CLINIC FLORENCE
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-717-0380
Provider Business Practice Location Address Fax Number:
402-717-6059
Provider Enumeration Date:
12/05/2005