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Organization

OFFBROADWAY APARTMENTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JEWEL RENEE SHEA (ADMINISTRATOR)
(308) 872-2522
Entity
Organization

Contact information

Practice address
403 S 1ST AVE, BROKEN BOW, NE 68822-2236
(308) 872-2522
(303) 872-2783
Mailing address
403 S 1ST AVE, BROKEN BOW, NE 68822-2236
(308) 872-2522
(303) 872-3296

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
218105650
NE

Other

Enumeration date
04/14/2008
Last updated
05/06/2008
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