| NPI | 1568514487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN WILSON VP Accounting 402-896-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IA 780204) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |