| NPI | 1568105989 |
|---|---|
| Doing Business As | TABITHA AT PRAIRIE COMMONS |
| Entity Type | Organization |
| Authorized Contact | RENAE ENDICOTT Assistant Director Of Finance 402-484-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-12-12 |