| NPI | 1114728730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY MCFARLIN Executive Director 402-415-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-07-21 |