| NPI | 1518188564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM H. KNUTSEN Administrator 402-529-3286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NE ALF197) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |