Devenu Medical Rejuvenation Center

LBN: Grandgen, Llc
Devenu Medical Rejuvenation Center is an health care organization with primary practice located at 9802 Nicholas St Suite 305, Omaha NE 68114-2167. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Grandgen, Llc can be contacted via phone (402) 397-2300, or through Fulcher, Jon via phone (402) 445-6173.

Contact Information

Primary practice address
9802 Nicholas St Suite 305 Omaha NE 68114-2167
Phone: (402) 397-2300
Fax: (402) 397-2303
Website:
Map and Directions
Authorized official contact:
Name: Fulcher, Jon
Phone: (402) 445-6173

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23224 Iowa

Profile Details

NPI number 1326351651
LBN Legal business name Grandgen, Llc
DBA Doing business as Devenu Medical Rejuvenation Center
Authorized official Fulcher, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2010
Last updated Jul 15th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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