Healthcare Provider Details

I. General information

NPI: 1104272434
Provider Name (Legal Business Name): IMPROVE CARE MANAGEMENT AND REHAB CONSULTANT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 DIAMOND ST
LYONS NE
68038-2501
US

IV. Provider business mailing address

1035 DIAMOND STREET
LYONS NE
68038
US

V. Phone/Fax

Practice location:
  • Phone: 402-880-0263
  • Fax:
Mailing address:
  • Phone: 402-808-1075
  • Fax: 402-926-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DOMERLIN U SODUSTA
Title or Position: OWNER
Credential:
Phone: 402-968-1643