Organization
KISMET LXN, LLC.
Active
Other names
Plum Creek Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 642-7736
Entity
Organization
Contact information
Practice address
1505 N ADAMS ST, LEXINGTON, NE 68850-1243
(308) 324-5531
(308) 324-5630
Mailing address
1505 N ADAMS ST, LEXINGTON, NE 68850-1243
(308) 324-5531
(308) 324-5703
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
224003
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026750101
—
NE
Enumeration date
08/09/2005
Last updated
02/25/2019
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