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Organization

STATE OF NEBRASKA DEPT. OF ADMIN. SERVICES

Active
Parent organization
STATE OF NEBRASKA DEPT. OF ADMIN. SERVICES
Other names
400 State Building
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF NEBRASKA DEPT. OF ADMIN. SERVICES
Authorized official
CORINA HARRISON (FACILITY ADMINISTRATOR)
(402) 223-6600
Entity
Organization

Contact information

Practice address
3000 LINCOLN ST, 3104 STATE AVE, BEATRICE, NE 68310-3319
(402) 223-6600
(402) 223-7589
Mailing address
3000 LINCOLN ST, 3104 STATE AVE, BEATRICE, NE 68310-3319
(402) 223-6600
(402) 223-7589

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
ICFMR07
NE

Other

Enumeration date
04/01/2011
Last updated
10/20/2022
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