| NPI | 1245047133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHANA GRACE Owner 402-813-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-26 |