Organization
RANDOLPH HEALTHCARE, INC.
Active
Other names
Colonial Manor of Randolph
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
811 S MAIN ST, RANDOLPH, NE 68771-1706
(402) 337-0444
(402) 337-1746
Mailing address
811 S MAIN ST, RANDOLPH, NE 68771-1706
(402) 337-0444
(402) 337-1746
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NE
314000000X
Skilled Nursing Facility
Primary
—
NE
Other
Enumeration date
05/24/2011
Last updated
02/23/2021
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