Organization
HERITAGE OF BRIDGEPORT, INC
Active
Other names
Heritage of Bridgeport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK DEAN VETTER (PRESIDENT)
(402) 895-3932
Entity
Organization
Contact information
Practice address
505 O ST, BRIDGEPORT, NE 69336-4045
(308) 262-0725
(308) 262-0470
Mailing address
505 O STREET, BRIDGEPORT, NE 69336-4045
(308) 262-0725
(308) 262-0470
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
544002
NE
Other
Enumeration date
08/25/2006
Last updated
06/08/2011
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