Organization
STUART VILLAGE NURSING HOME BOARD PARKSIDE MANOR OF STUART
Active
Other names
Parkside Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCAS A KAUP (ADMINISTRATOR)
(402) 924-3601
Entity
Organization
Contact information
Practice address
507 N MAIN ST, STUART, NE 68780-1721
(402) 924-3601
(402) 924-3615
Mailing address
PO BOX 350, STUART, NE 68780-0350
(402) 924-3601
(402) 924-3615
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
414003
NE
Other
Enumeration date
04/21/2006
Last updated
08/28/2013
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