| NPI | 1184638405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT B SHANHOLTZ Chief Financial Officer 402-873-8541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 264003) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NE 264003) |
| 225X00000X Occupational Therapist (Licence: NE 264003) | |
| 225100000X Physical Therapist (Licence: NE 264003) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NE 264003) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-08-17 |