| NPI | 1326578956 |
|---|---|
| Doing Business As | TIFFANY SQUARE |
| Entity Type | Organization |
| Authorized Contact | JACK D VETTER CEO 402-895-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 374006) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |