Organization
DIAL RIDGEWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH L STOAKES (EXECUTIVE DIRECTOR)
(402) 214-7359
Entity
Organization
Contact information
Practice address
12301 N 149TH CIR, BENNINGTON, NE 68007-5775
(402) 884-7644
(402) 884-7525
Mailing address
12301 N 149TH CIR, BENNINGTON, NE 68007-5775
(402) 884-7644
(402) 884-7525
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF331
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025948400
—
NE
Enumeration date
03/19/2012
Last updated
03/19/2012
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