| NPI | 1043017767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN LEWIS Executive Director 402-502-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |