| NPI | 1134502529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M ALDEN Registered Dental Hygienist 402-340-5718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NE 746) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NE 746) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |