| NPI | 1083602692 |
|---|---|
| Doing Business As | GORDON COUNTRYSIDE CARE |
| Entity Type | Organization |
| Authorized Contact | KRISSA L RUCKER Administrator 308-282-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE 734001) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE ALF070) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: NE 14) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |