| NPI | 1568751063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENNY JOHN GRIGAITIS Administrator 402-714-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE ALF161) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |