Healthcare Provider Details

I. General information

NPI: 1437155173
Provider Name (Legal Business Name): PARKVIEW HAVEN NURSING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 10/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 4TH STREET
DESHLER NE
68340-0667
US

IV. Provider business mailing address

1203 4TH STREET
DESHLER NE
68340-0667
US

V. Phone/Fax

Practice location:
  • Phone: 402-365-7237
  • Fax: 402-365-7737
Mailing address:
  • Phone: 402-365-7237
  • Fax: 402-365-7737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY MILLER
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 402-365-7237