# MIDWEST COVENANT HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SKILLED NURSING FACILITY
- **Other names:** Midwest Covenant Home OTHS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962799320
- **Legal business name:** SKILLED NURSING FACILITY
- **Authorized official:** MR. CHRISTOPER M YOUNG (ADMINISTRATOR)
- **Authorized official phone:** (402) 764-2711

## Contact information

- **Practice address:** 615 E 9TH ST, STROMSBURG, NE 68666-4053
- **Practice address phone:** (402) 764-2711
- **Mailing address:** 615 E 9TH ST, P O BOX 367, STROMSBURG, NE 68666-4053
- **Mailing address phone:** (402) 764-2711
- **Mailing address fax:** (402) 764-4352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 644002 | NE | Yes |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 07/06/2011
