| Women's Empowering Life Line, Inc. | |
|
910 West Park Avenue Norfolk NE 68701-5044 | |
| (402) 379-3622 | |
| (402) 644-4593 |
| Full Name | Women's Empowering Life Line, Inc. |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 910 West Park Avenue, Norfolk, Nebraska |
| Authorized Official Name and Position | Donielle Larson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4023793622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Women's Empowering Life Line, Inc. 910 West Park Avenue Norfolk NE 68701-5044 Ph: (402) 379-3622 | Women's Empowering Life Line, Inc. 910 West Park Avenue Norfolk NE 68701-5044 Ph: (402) 379-3622 |
| NPI Number | 1417420316 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 01/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417420316 | NPI | - | NPPES |
| 100252183-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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