Organization
MOTHER HULL HOME
Active
Other names
Mother Hull Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SIMMONS (ADMINISTRATOR)
(308) 234-2447
Entity
Organization
Contact information
Practice address
125 E 23RD STREET, KEARNEY, NE 68847-5425
(308) 234-2447
(308) 234-6823
Mailing address
125 E 23RD STREET, KEARNEY, NE 68847-5425
(308) 234-2447
(308) 234-6823
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
074002
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074002
STATE LICENSE
NE
Enumeration date
11/11/2005
Last updated
10/14/2016
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