Provider First Line Business Practice Location Address:
102 E SOUTH ST
Provider Second Line Business Practice Location Address:
RCH REHAB DEPARTMENT
Provider Business Practice Location Address City Name:
BASSETT
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68714-5508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-684-3366
Provider Business Practice Location Address Fax Number:
413-431-5660
Provider Enumeration Date:
11/28/2007