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Organization
CUSTER CARE
Active
Organization
CUSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ALICE GLIDDEN (ADMINISTRATOR)
(308) 872-6303
Entity
Organization
Contact information
Practice address
1020 50 2ND AVE, BROKEN BOW., NE 68822-1422
(308) 872-6303
(308) 872-2677
Mailing address
1020 50 2ND AVE, BROKEN BOW., NE 68822-1422
(308) 872-6303
(308) 872-2677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
310400000X
Assisted Living Facility
Primary
ALF322
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025661500
—
NE
Enumeration date
06/06/2011
Last updated
12/12/2022
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