NPI 1790706034
State of Nebraska Dept of Admin Services
Practice location
- Address
- 4510 E 56th St, Kearney, NE 68847-4116
- Phone
- (402) 471-1831
- Fax
- (402) 742-1142
- Mailing address
- PO Box 95112, Lincoln, NE 68509-5112
Authorised official
- Name
- Clarissa Hunt
- Title
- Health Information Manager
- Phone
- (402) 471-1831
Registered specialties (2)
Skilled Nursing Facility
Primary
Assisted Living Facility
Registry record
- NPI
- 1790706034
- Entity type
- Organization
- NPI issued
- 22 Jul 2006
- Record last updated
- 14 Dec 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.