Logan Valley Manor LLC

NPI #1396059051 in Lyons, Nebraska

Provider Information

NPI Number
1396059051
Entity Type
Organization
Organization Name
Logan Valley Manor LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 4, 2010
Last Updated
Jan 20, 2012

Practice Location

Address
1035 DIAMOND ST
City
Lyons
ZIP Code
68038-2501
Phone
(402) 687-2636

Authorized Official

Name
GARETT J ROBERTSON
Title
CEO
Phone
(801) 296-5105

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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