# RAVENSCROFT HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Joseph's Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164253373
- **Authorized official:** SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 401 N 18TH ST, NORFOLK, NE 68701-3651
- **Practice address phone:** (402) 644-7375
- **Mailing address:** 401 N 18TH ST, NORFOLK, NE 68701-3651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2024
- **Last updated:** 09/30/2024