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General NPI Number Information
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NPI Number | 1689562332
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Entity Type | Organization
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Legal Business Name | PARK VIEW HAVEN NURSING HOME
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 309 N MADISON ST
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City | COLERIDGE
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State | NE
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Zip | 68727-2602
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Country | US
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Telephone | 402-283-4224
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Fax |
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Provider Business Mailing Address
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Address Line | 309 N MADISON ST
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City | COLERIDGE
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State | NE
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Zip | 68727-2602
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Country | US
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Telephone | 402-283-4224
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NANCY J MOSEL
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Credential |
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Telephone | 402-283-4224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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