Healthcare Provider Details

I. General information

NPI: 1760295141
Provider Name (Legal Business Name): ROCK COUNTY SENIOR CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 S CLARK ST
BASSETT NE
68714-6042
US

IV. Provider business mailing address

PO BOX 59
BASSETT NE
68714-0059
US

V. Phone/Fax

Practice location:
  • Phone: 402-684-2295
  • Fax:
Mailing address:
  • Phone: 402-684-2295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN R MALOUN
Title or Position: MANAGER
Credential:
Phone: 402-684-2295