| NPI | 1518086420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOIS LUTHER COON CFO 402-426-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IA R-725) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |