| NPI | 1508159591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INA CARROLL Executive Director 402-721-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE ALF257) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |