# FAIRBURY ASSISTED LIVING FACILITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedarwood Assisted Living Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134412992
- **Authorized official:** MR. CHAD JURGENS (SECRETARY)
- **Authorized official phone:** (402) 729-3351

## Contact information

- **Practice address:** 828 22ND ST, FAIRBURY, NE 68352-1202
- **Practice address phone:** (402) 729-3351
- **Practice address fax:** (402) 729-2102
- **Mailing address:** 828 22ND ST, FAIRBURY, NE 68352-1202
- **Mailing address phone:** (402) 729-3351
- **Mailing address fax:** (402) 729-2102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF281 | NE | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 05/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100250579-00 | — | NE |