| NPI | 1245128941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY A KNOX Administrator 402-684-3366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |