Organization
CALLAWAY GOOD LIFE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J JORGENSON (PRESIDENT)
(308) 380-0335
Entity
Organization
Contact information
Practice address
600 W KIMBALL ST, CALLAWAY, NE 68825-2592
(308) 380-0335
Mailing address
308 N GRAND AVE, CALLAWAY, NE 68825-5124
(308) 380-0335
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
12/19/2013
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