# CALLAWAY GOOD LIFE CENTER INC

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

## Provider details

- **NPI number:** 1750630661
- **Authorized official:** MR. RONALD J JORGENSON (PRESIDENT)
- **Authorized official phone:** (308) 380-0335

## Contact information

- **Practice address:** 600 W KIMBALL ST, CALLAWAY, NE 68825-2592
- **Practice address phone:** (308) 380-0335
- **Mailing address:** 308 N GRAND AVE, CALLAWAY, NE 68825-5124
- **Mailing address phone:** (308) 380-0335

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2012
- **Last updated:** 12/19/2013