Heritage Of Fairbury/St Edward, INC
Skilled Nursing Facility in Fairbury, NE. Organization (NPI-2).
NPI number1619085123
StatusActive
Last updated in NPPESDec 20, 2010
Details
- NPI
- 1619085123
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage Of Fairbury/St Edward, INC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Dec 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 444001 | NE | Yes |
Other names
- Heritage Care Center (Doing Business As)
Practice location
909 17th StFairbury, NE 68352-1215
Phone 402-729-2289 · Fax 402-729-5233
Mailing address
Po Box 667Fairbury, NE 68352-0667
Phone 402-729-2289 · Fax 402-729-5233
Authorized official
Jack Dean Vetter
President
4028953932
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