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General NPI Number Information
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NPI Number | 1235132184
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Entity Type | Organization
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Legal Business Name | HOLDREGE MEMORIAL HOMES, INC.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 1320 11TH AVE
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City | HOLDREGE
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State | NE
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Zip | 68949-1919
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Country | US
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Telephone | 308-995-8631
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Fax | 308-995-8636
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Provider Business Mailing Address
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Address Line | 1320 11TH AVE
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City | HOLDREGE
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State | NE
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Zip | 68949-1919
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Country | US
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Telephone | 308-995-8631
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Fax | 308-995-8636
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Authorized Official
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Title or Position | DIRECTOR/ADMINISTRATOR
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Name | KEVIN MORIARTY
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Credential |
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Telephone | 308-995-8631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ALF110
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 614003
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License Number State | NE
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