Provider First Line Business Practice Location Address:
6901 N. 72ND ST.
Provider Second Line Business Practice Location Address:
IMMANUEL EMERGENCY ROOM
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-572-2225
Provider Business Practice Location Address Fax Number:
402-572-2987
Provider Enumeration Date:
03/18/2006