Organization
ROSE BROOK CARE CENTER LLC
Active
Other names
Rose Brook Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARETT J ROBERTSON (CEO)
(801) 296-5105
Entity
Organization
Contact information
Practice address
106 5TH ST, EDGAR, NE 68935-3156
(402) 442-5015
Mailing address
106 5TH ST, EDGAR, NE 68935-3156
(402) 224-5015
(402) 224-3242
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
164001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026017100
—
NE
Enumeration date
07/28/2010
Last updated
01/20/2012
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