# CHIMNEY ROCK VILLA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740220268
- **Authorized official:** KIMBERLY BURRY (ADMINISTRATOR)
- **Authorized official phone:** (308) 586-1142

## Contact information

- **Practice address:** 106 E 13TH ST, BAYARD, NE 69334-8051
- **Practice address phone:** (308) 586-1142
- **Practice address fax:** (308) 586-2113
- **Mailing address:** 106 E 13TH ST, PO BOX A, BAYARD, NE 69334-8051
- **Mailing address phone:** (308) 586-1142
- **Mailing address fax:** (308) 586-2113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF253 | NE | — |
| 314000000X | Skilled Nursing Facility | 544001 | NE | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 12/06/2016