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Organization

EPWORTH VILLAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACI MOORMAN (ADMINISTRATIVE ASSISTANT)
(402) 362-3353
Entity
Organization

Contact information

Practice address
2119 N DIVISION AVE, YORK, NE 68467-1009
(402) 362-3353
(402) 363-7826
Mailing address
2119 N DIVISION AVE, YORK, NE 68467-1009
(402) 362-3353
(402) 363-7826

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
9746
NE

Other

Enumeration date
10/05/2012
Last updated
10/05/2012
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