State of Nebraska Dept. of Admin. Services

NPI #1962791764 in Beatrice, Nebraska

Provider Information

NPI Number: 1962791764
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: Apr 1, 2011
Last Updated: Oct 20, 2022

Practice Location

Address: 3000 LINCOLN ST
Address 2: 3104 STATE AVE
City: Beatrice
State: Nebraska
ZIP Code: 68310-3319
Phone: (402) 223-6600

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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