Healthcare Provider Details
I. General information
NPI: 1588126155
Provider Name (Legal Business Name): HARTINGTON OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2019
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 W DARLENE ST
HARTINGTON NE
68739-4510
US
IV. Provider business mailing address
401 W DARLENE ST
HARTINGTON NE
68739-4510
US
V. Phone/Fax
- Phone: 402-254-3905
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EPHRAM
LAHASKY
Title or Position: MEMBER
Credential:
Phone: 646-772-3668