MANOR OF NORTH PLATTE, INC
Assisted Living Facility
North Platte, Nebraska
Provider NPI: 1780792663
Organization Information:Organization Name: MANOR OF NORTH PLATTE, INC
Practice Location:
3700 W PHILIP AVE NORTH PLATTE, NE 69101 US
Tel: 308-534-8808 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3700 W PHILIP AVE NORTH PLATTE, NE 69101 US
Tel: 308-534-8808 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NE | ALF029 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
10024985300 | NE | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin