# EXETER CARE CENTER LLC

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

## Provider details

- **NPI number:** 1689989295
- **Authorized official:** GARETT R ROBERTSON (CEO)
- **Authorized official phone:** (801) 296-5105

## Contact information

- **Practice address:** 425 SOUTH EMPIRE AVENUE, BOX 59, EXETER, NE 68351-4104
- **Practice address phone:** (402) 266-4501
- **Practice address fax:** (402) 266-4591
- **Mailing address:** 425 S EMPIRE AVE, EXETER, NE 68351-4104
- **Mailing address phone:** (402) 266-4501
- **Mailing address fax:** (402) 266-4591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 284001 | NE | Yes |

## Other

- **Enumeration date:** 08/09/2010
- **Last updated:** 01/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026103200 | — | NE |