Organization
NEBRASKA P.E.O. HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY A MAGILL (ADMINISTRATOR)
(402) 228-4208
Entity
Organization
Contact information
Practice address
413 N 5TH ST, BEATRICE, NE 68310-2902
(402) 228-4208
(402) 228-4209
Mailing address
413 N 5TH ST, BEATRICE, NE 68310-2902
(402) 228-4208
(402) 228-4209
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF287
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254577-00
—
NE
Enumeration date
04/14/2011
Last updated
04/14/2011
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