| NPI | 1104815778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL KOHLES Don/Asst. Adm 402-826-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NE LTCH009) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |