| NPI | 1609077577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MAXXON Recruiter 402-970-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AL 749) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-08-18 |