Organization
CITY OF CRAWFORD
Active
Other names
Ponderosa Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY ANDERSEN NHA (ADMINISTRATOR)
(308) 665-1224
Entity
Organization
Contact information
Practice address
1 PADDOCK ST, CRAWFORD, NE 69339-1143
(308) 665-1224
(308) 665-2450
Mailing address
PO BOX 526, 1 PADDOCK ST, CRAWFORD, NE 69339-0526
(308) 665-1224
(308) 665-2450
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
214002
NE
Other
Enumeration date
07/12/2006
Last updated
01/03/2013
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