# HAVELOCK MANOR.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124323126
- **Authorized official:** MS. JANINE SUE STEARNS LPN (ADMINISTRATOR)
- **Authorized official phone:** (402) 464-2222

## Contact information

- **Practice address:** 6330 PLATTE AVE, LINCOLN, NE 68507-1349
- **Practice address phone:** (402) 464-2222
- **Practice address fax:** (402) 464-2225
- **Mailing address:** 6330 PLATTE AVE, LINCOLN, NE 68507-1349
- **Mailing address phone:** (402) 464-2222
- **Mailing address fax:** (402) 464-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF 335 | NE | Yes |

## Other

- **Enumeration date:** 01/21/2011
- **Last updated:** 01/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100258547-00 | — | NE |
