Provider Demographics
NPI:1063037323
Name:INCITE WOUND CARE SERVICES, LLC
Entity Type:Organization
Organization Name:INCITE WOUND CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WOUND CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLIESSER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-429-5010
Mailing Address - Street 1:PO BOX 22343
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68542-2343
Mailing Address - Country:US
Mailing Address - Phone:402-429-5010
Mailing Address - Fax:
Practice Address - Street 1:2641 WINCHESTER S
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-1656
Practice Address - Country:US
Practice Address - Phone:402-429-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty