Provider Demographics
NPI:1255729455
Name:DAILY LIVING THERAPY SOLUTIONS, LLC
Entity type:Organization
Organization Name:DAILY LIVING THERAPY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOESER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:308-636-8947
Mailing Address - Street 1:45255 ROAD 800
Mailing Address - Street 2:
Mailing Address - City:ANSLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68814-5120
Mailing Address - Country:US
Mailing Address - Phone:308-636-8947
Mailing Address - Fax:
Practice Address - Street 1:79145 ROAD 427
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-5123
Practice Address - Country:US
Practice Address - Phone:308-750-9467
Practice Address - Fax:308-210-8810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1569261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025936800Medicaid