NPI | 1174053771 |
---|---|
Doing Business As | SHADY OAKS |
Entity Type | Organization |
Authorized Contact | JACK D VETTER C Eo 402-895-3932 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 130137) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2017-06-15 |