CMS Certification Number (CCN): 285248
Address: 1043 10TH STREET, HUMBOLDT, NE, 68376
Telephone: 4028623123
Ownership Type: Government - City
Number of Certified Beds: 49
Average Number of Residents per Day: 31.9
Provider Type: nan
Overall Rating: Yes
Most Recent Health Inspection: N
Legal Business Name: N
Date First Approved: Legal Business Name Not Available
Affiliated Entity: 2002-10-01
CMS State Operations Manual: Link
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