Organization
CLARKSON COMMUNITY CARE CENTER INC.
Active
Other names
Clarkson Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER EAGLE (ADMINISTRATOR)
(402) 892-3494
Entity
Organization
Contact information
Practice address
212 SUNRISE DR, CLARKSON, NE 68629-4042
(402) 892-3494
Mailing address
212 SUNRISE DR, CLARKSON, NE 68629-4042
(402) 892-3494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
174001
NE
235Z00000X
Speech-Language Pathologist
174001
NE
261QP2000X
Physical Therapy Clinic/Center
174001
NE
310400000X
Assisted Living Facility
174001
NE
314000000X
Skilled Nursing Facility
Primary
174001
NE
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026893500
—
NE
01
—
NH0040
DHHS
NE
Enumeration date
08/25/2017
Last updated
07/21/2022
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