# HERITAGE OF FAIRBURY/ST EDWARD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619085123
- **Authorized official:** JACK DEAN VETTER (PRESIDENT)
- **Authorized official phone:** (402) 895-3932

## Contact information

- **Practice address:** 909 17TH ST, FAIRBURY, NE 68352-1215
- **Practice address phone:** (402) 729-2289
- **Practice address fax:** (402) 729-5233
- **Mailing address:** PO BOX 667, FAIRBURY, NE 68352-0667
- **Mailing address phone:** (402) 729-2289
- **Mailing address fax:** (402) 729-5233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 444001 | NE | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 12/20/2010