Provider First Line Business Practice Location Address:
926 EAST E STREET
Provider Second Line Business Practice Location Address:
GOOD SAMARITAN SOCIETY - HASTINGS VILLAGE
Provider Business Practice Location Address City Name:
HASTINGS
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68901-2149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-463-3181
Provider Business Practice Location Address Fax Number:
402-460-3206
Provider Enumeration Date:
09/23/2011