Organization
HERITAGE OF FAIRBURY-ST EDWARD, INC
Active
Other names
Cloverlodge Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DEAN VETTER (PRESIDENT)
(402) 895-3932
Entity
Organization
Contact information
Practice address
301 N 13TH ST, SAINT EDWARD, NE 68660-4426
(402) 678-2294
(402) 678-2446
Mailing address
301 N 13TH ST, SAINT EDWARD, NE 68660-4426
(402) 678-2294
(402) 678-2446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
34002
NE
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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