Organization
EXETER CARE CENTER LLC
Active
Other names
Exeter Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARETT R ROBERTSON (CEO)
(801) 296-5105
Entity
Organization
Contact information
Practice address
425 SOUTH EMPIRE AVENUE, BOX 59, EXETER, NE 68351-4104
(402) 266-4501
(402) 266-4591
Mailing address
425 S EMPIRE AVE, EXETER, NE 68351-4104
(402) 266-4501
(402) 266-4591
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
284001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026103200
—
NE
Enumeration date
08/09/2010
Last updated
01/20/2012
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