| NPI | 1083602833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN VAKOC Administrator 402-668-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 494002) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2011-04-07 |