# BROKEN BOW LIVING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookestone View Skilled Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700333879
- **Authorized official:** MR. JACK VETTER (CEO)
- **Authorized official phone:** (402) 895-3932

## Contact information

- **Practice address:** 850 LAUREL PKWY, BROKEN BOW, NE 68822-1111
- **Practice address phone:** (402) 767-2300
- **Practice address fax:** (402) 767-2800
- **Mailing address:** 850 LAUREL PKWY, BROKEN BOW, NE 68822-1111
- **Mailing address phone:** (402) 767-2300
- **Mailing address fax:** (402) 767-2800

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 10/09/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 47042653011 | — | NE |