NPI | 1588658009 |
---|---|
Entity Type | Organization |
Authorized Contact | LANA BALKA Administrator 308-874-2292 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE 234001) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE ALF052) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2011-06-22 |