=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700698966
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARLAN COUNTY SENIOR SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2025
-----------------------------------------------------
Last Update Date | 01/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 608 MAIN ST
-----------------------------------------------------
City | ALMA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68920-2165
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-928-2149
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1023
-----------------------------------------------------
City | ALMA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68920-1023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-928-2149
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | BONNIE KRESSER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 308-920-1048
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174200000X
-----------------------------------------------------
Taxonomy Name | Meals Provider
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------