| NPI | 1407964240 |
|---|---|
| Doing Business As | SOUTHLAKE VILLAGE REHABILITATION AND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK DEAN VETTER President 402-895-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 504010) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-08-03 |