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Organization
MONTCLAIR HEALTHCARE LLC
Active
Organization
MONTCLAIR HEALTHCARE LLC
Active
Other names
Montclair Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALYN R. BURKE (MANAGER)
(402) 333-2304
Entity
Organization
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
(402) 330-1428
Mailing address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
(402) 330-1428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
264011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025317200
—
NE
Enumeration date
06/02/2006
Last updated
03/18/2015
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