Organization
CAREAGE MANAGEMENT LLC
Active
Other names
Colonial Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MYERS (PRESIDENT)
(712) 293-0117
Entity
Organization
Contact information
Practice address
811 S MAIN ST, RANDOLPH, NE 68771-1706
(402) 337-0444
(402) 337-1746
Mailing address
811 SO MAIN ST, RANDOLPH, NE 68771
(712) 293-0117
(712) 293-0356
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
124004
NE
Other
Enumeration date
02/15/2006
Last updated
06/05/2008
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