| NPI | 1316476559 |
|---|---|
| Doing Business As | SOUTHLAKE VILLAGE |
| Doing Business As | SOUTHLAKE VILLAGE REHABILITATION AND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK D VETTER CEO 402-895-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE NH00011) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2017-09-04 |