Organization
SCOTTSBLUFF OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPHRAM LAHASKY (MEMBER)
(646) 772-3668
Entity
Organization
Contact information
Practice address
111 W 36TH ST, SCOTTSBLUFF, NE 69361-4636
(308) 635-2019
Mailing address
111 W 36TH ST, SCOTTSBLUFF, NE 69361-4636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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