| NPI | 1124823448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE WALKER CEO 402-980-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |