Provider First Line Business Practice Location Address:
908 N. HOWARD AVE. SUITE 107
Provider Second Line Business Practice Location Address:
NEBRASKA CHILDREN'S HOME SOCIETY
Provider Business Practice Location Address City Name:
GRAND ISLAND
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-381-0568
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2012