| NPI | 1659165454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY LEACH Operating Owner 402-618-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |