Organization
EDGEWOOD NORFOLK SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX CARLSON CPA (CHIEF FINANCIAL OFFICER)
(701) 738-2000
Entity
Organization
Contact information
Practice address
1109 PASEWALK AVE., NORFOLK, NE 68701-4916
(402) 371-0052
(402) 371-0053
Mailing address
1109 PASEWALK AVE., NORFOLK, NE 68701-4916
(402) 371-0052
(402) 371-0053
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
28D1059766
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025292600
—
NE
Enumeration date
04/06/2011
Last updated
04/06/2011
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