| NPI | 1275827412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ALICE GLIDDEN Administrator 308-872-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE ALF322) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-12-12 |