| NPI | 1336184092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DEAN HAMISCH VP Of Finance 402-753-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 504004) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE ALF064) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-03-29 |