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NPI Code Detail

MEDICARE: LOUISVILLE CARE CENTER

MEDICARE: LOUISVILLE CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1255NE

General Provider Information

NPI Number : 1346364536
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISVILLE CARE CENTER
Provider Business Mailing Address
First Line : 6915 WRIGHT PLZ
Second Line : APT # L8
City : OMAHA
State : NE
Zip : 68106-3400
Country : US
Telephone Number : 308-379-9328
Fax Number :
Provider Business Practice Location Address
First Line : 410 W 5TH ST
Second Line :
City : LOUISVILLE
State : NE
Zip : 68037-6006
Country : US
Telephone Number : 402-234-2125
Fax Number :
Authorized Official
Title or Position : OCCUPATIONAL THERAPIST
Name : MS. MEGAN MARIE COATES
Credential : OTR
Telephone Number : 308-379-9328
Provider Enumeration Date : 03/16/2007
Last Update Date : 08/22/2020

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Directions to “LOUISVILLE CARE CENTER ” Practice Location

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