| NPI | 1245807726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAWN HARBAUGH Health Care Coordinator 402-981-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |