28D0994777 CLIA NUMBER - GRAND ISLAND BICKFORD COTTAGE ASSISTED LIVING

Laboratory Demographics

CLIA Number: 28D0994777

Facility Name: GRAND ISLAND BICKFORD COTTAGE ASSISTED LIVING

Facility Address:
3285 WOODRIDGE BLVD
GRAND ISLAND, NE
ZIP 68801
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Facility Phone Number: 308 384-3800

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1720362940

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 28D0994777
LAB Type Other
Facility Name GRAND ISLAND BICKFORD COTTAGE ASSISTED LIVING
Street 3285 WOODRIDGE BLVD
City GRAND ISLAND
State NE
ZIP 68801
Phone 308 384-3800
CertificateType 4
CertificateEffectiveDate 12/31/2023
CertificateExpirationDate 12/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024