Organization
RIDGECREST SNF OPERATIONS LLC
Active
Other names
LEGACY POINTE REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHADD M RUSSELL (ADMINISTRATOR/COO)
(402) 455-6636
Entity
Organization
Contact information
Practice address
3110 SCOTT CIR, OMAHA, NE 68112-2604
(402) 455-6636
Mailing address
1195 RAILROAD AVE, HEWLETT, NY 11557-2316
(516) 855-5504
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
11/24/2020
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