| NPI | 1235132184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MORIARTY Director/Administrator 308-995-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 614003) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE ALF110) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-01-12 |