| 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 |