Organization
BROOKSTONE VILLAGE INC
Active
Other names
Brookstone Village
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DEAN VETTER (PRESIDENT)
(402) 895-3932
Entity
Organization
Contact information
Practice address
4330 S 144TH ST, OMAHA, NE 68137-1051
(402) 614-4000
(402) 614-4001
Mailing address
4330 S 144TH ST, OMAHA, NE 68137-1051
(402) 614-4000
(402) 614-4001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
264603
NE
Other
Enumeration date
08/29/2006
Last updated
09/13/2010
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