Provider Demographics
NPI:1568269900
Name:FOLCHERT, DANA
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:FOLCHERT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301-2605
Mailing Address - Country:US
Mailing Address - Phone:308-760-9725
Mailing Address - Fax:
Practice Address - Street 1:1440 MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-2605
Practice Address - Country:US
Practice Address - Phone:308-760-9725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care