# BLUE VALLEY LUTHERAN HOMES SOCIETY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Valley Lutheran Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972591808
- **Authorized official:** MR. DOUG A CHOS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (402) 768-3900

## Contact information

- **Practice address:** 220 PARK AVENUE, HEBRON, NE 68370-2008
- **Practice address phone:** (402) 768-3900
- **Practice address fax:** (402) 768-3901
- **Mailing address:** P.O. BOX 166, P. O. BOX 166, HEBRON, NE 68370-2008
- **Mailing address phone:** (402) 768-3900
- **Mailing address fax:** (402) 768-3901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 764002 | NE | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 03/09/2022