| NPI | 1568105989 |
|---|---|
| Doing Business As | TABITHA AT PRAIRIE COMMONS |
| Entity Type | Organization |
| Authorized Contact | BRIAN SHANKS Chief Financial Officer 402-486-8545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |