Organization
FULLERTON OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPHRAM LAHASKY (MEMBER)
(646) 772-3668
Entity
Organization
Contact information
Practice address
202 N ESTHER ST, FULLERTON, NE 68638-3029
(308) 536-2488
Mailing address
202 N ESTHER ST, FULLERTON, NE 68638-3029
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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