| NPI | 1366430837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX BRYAN SNAVELY Administrator 402-643-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 724003) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |