# RAVENSCROFT HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skyview Villa Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649001827
- **Authorized official:** SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 210 HARRIS DR, NORFOLK, NE 68701-3500
- **Practice address phone:** (402) 371-5269
- **Mailing address:** 210 HARRIS DR, NORFOLK, NE 68701-3500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

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