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Logan Valley Manor Llc

Logan Valley Manor Llc is a health care provider in Lyons, NE. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1035 Diamond St, Lyons, NE 68038-2501, US
Practice Location Phone402-687-2636
Practice Location Fax402-687-2638
Legal Business NameLOGAN VALLEY MANOR LLC
Other Organization NameLOGAN VALLEY MANOR
Other Organization Name TypeDoing Business As Name
NPI ?1396059051
Entity TypeOrganization
Enumeration Date ? Aug 4, 2010
Last Update Date ? Jan 20, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Logan Valley Manor Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 084001Nebraska

legacy-id-icon Legacy Provider IDs of Logan Valley Manor Llc

Provider IdIssuer StateIssuer TypeIssuer
10026103200NebraskaMedicaid

official-icon Authorized Official of Logan Valley Manor Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Logan Valley Manor Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Garett J Robertson
Authorized Official Title/PositionCEO
Authorized Official Phone Number801-296-5105