Provider First Line Business Practice Location Address:
106 5TH STREET
Provider Second Line Business Practice Location Address:
ROSEBROOK CARE CENTER
Provider Business Practice Location Address City Name:
EDGAR
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68935-3156
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-224-5015
Provider Business Practice Location Address Fax Number:
402-224-3242
Provider Enumeration Date:
09/15/2011