Organization
AINSWORTH CARE CENTER LLC
Active
Other names
Ainsworth Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARETT J ROBERTSON (CEO)
(801) 296-5105
Entity
Organization
Contact information
Practice address
143 N FULLERTON ST, AINSWORTH, NE 69210-1515
(402) 387-2500
Mailing address
143 N FULLERTON ST, AINSWORTH, NE 69210-1515
(402) 387-2500
(402) 387-0721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
064001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026017200
—
NE
Enumeration date
08/04/2010
Last updated
01/20/2012
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