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Organization

COFFMAN-LEVI CHARITABLE TRUST, INC

Active
Other names
Gold Crest Retirement Center
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY SCOTT FRITZEN (EXECUTIVE DIRECTOR)
(402) 988-7115
Entity
Organization

Contact information

Practice address
200 LEVI LN, ADAMS, NE 68301-8830
(402) 988-7115
(402) 988-2111
Mailing address
200 LEVI LN, ADAMS, NE 68301-8830
(402) 988-7115
(402) 988-2111

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
324001
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47068085111
NE
Enumeration date
08/29/2005
Last updated
06/08/2015
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