Heritage of Fairbury/st Edward, INC

NPI #1619085123 in Fairbury, Nebraska

Provider Information

NPI Number
1619085123
Entity Type
Organization
Organization Name
Heritage of Fairbury/st Edward, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 25, 2006
Last Updated
Dec 20, 2010

Practice Location

Address
909 17TH ST
ZIP Code
68352-1215
Phone
(402) 729-2289

Authorized Official

Name
JACK DEAN VETTER
Title
PRESIDENT
Phone
(402) 895-3932

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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