Healthcare Provider Details

I. General information

NPI: 1194275131
Provider Name (Legal Business Name): NORFOLK CARE AND REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2016
Last Update Date: 10/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 VICKI LN
NORFOLK NE
68701-4558
US

IV. Provider business mailing address

1900 VICKI LN
NORFOLK NE
68701-4558
US

V. Phone/Fax

Practice location:
  • Phone: 402-379-3118
  • Fax: 402-371-1133
Mailing address:
  • Phone: 402-379-3118
  • Fax: 402-371-1133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 201-635-1195