Organization
BROOKESTONE MEADOWS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK DEAN VETTER (PRESIDENT)
(402) 289-2696
Entity
Organization
Contact information
Practice address
600 BROOKESTONE MEADOWS PLAZA, ELKHORN, NE 68022-4401
(402) 289-2696
(402) 289-1090
Mailing address
600 BROOKESTONE MEADOWS PLAZA, ELKHORN, NE 68022-4401
(402) 289-2696
(402) 289-1090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH006
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH006
STATE LICENSE NUMBER
NE
Enumeration date
09/05/2007
Last updated
11/04/2010
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