# BEATRICE STATE DEVELOPMENTAL CENTER

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

## Provider details

- **NPI number:** 1265709745
- **Authorized official:** MR. ANDREW ASHELFORD RD, LMNT (DIETITIAN)
- **Authorized official phone:** (402) 806-2681

## Contact information

- **Practice address:** 3000 LINCOLN BLVD, BEATRICE, NE 68310-3319
- **Practice address phone:** (402) 223-6600
- **Mailing address:** 3000 LINCOLN BLVD, BEATRICE, NE 68310-3319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 964 | NE | Yes |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 11/28/2011