Organization
MONTCLAIR HEALTHCARE LLC
Active
Other names
Montclair Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALYN R. BURKE (MANAGER)
(402) 333-2304
Entity
Organization
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
(402) 330-1428
Mailing address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
(402) 330-1428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
264011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025317200
—
NE
Enumeration date
06/02/2006
Last updated
03/18/2015
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