| NPI | 1659412047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A. HOFFMAN Administrator 308-472-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 614001) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE ALF009) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-05-12 |