NPI | 1003924929 |
---|---|
Doing Business As | TIFFANY SQUARE CARE CENTER |
Entity Type | Organization |
Authorized Contact | JACK DEAN VETTER President 402-895-3932 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 374006) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2009-07-23 |