Organization
COLONIAL ACRES OF HUMBOLDT
Active
Other names
Colonial Acres Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA DOUGLAS (BOARD CHAIRMAN)
(402) 862-2731
Entity
Organization
Contact information
Practice address
1043 10TH ST, HUMBOLDT, NE 68376-6018
(402) 862-3123
(402) 862-2153
Mailing address
1043 10TH ST, HUMBOLDT, NE 68376-6018
(402) 862-3123
(402) 862-2153
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
664003
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025268600
—
NE
01
—
60099
BLUE CROSS BLUE SHIELD
NE
Enumeration date
10/25/2006
Last updated
06/19/2009
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