State of Nebraska, Dept. of Admin. Services

NPI #1629360656 in Beatrice, Nebraska

Provider Information

NPI Number
1629360656
Entity Type
Organization
Organization Name
State of Nebraska, Dept. of Admin. Services
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF NEBRASKA, DEPT. OF ADMIN. SERVICES
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 10, 2011
Last Updated
Oct 20, 2022

Practice Location

Address
3000 LINCOLN ST
Address 2
SOLAR COTTAGES
ZIP Code
68310-3319
Phone
(402) 223-6600

Authorized Official

Name
CORINA HARRISON
Title
FACILITY ADMINISTRATOR
Phone
(402) 223-6600

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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