Organization
CHAMPION HOMES OF HASTINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D. BARRERA (CEO)
(402) 469-1234
Entity
Organization
Contact information
Practice address
602 S WABASH AVE, HASTINGS, NE 68901-6152
(402) 303-0158
Mailing address
PO BOX 1197, HASTINGS, NE 68902-1197
(402) 469-1234
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
02/22/2024
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