NPI | 1043291453 |
---|---|
Doing Business As | MOTHER HULL HOME |
Entity Type | Organization |
Authorized Contact | STEPHANIE SIMMONS Administrator 308-234-2447 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 074002) |
Enumeration Date | 2005-11-11 |
Last Update Date | 2016-10-14 |