NPI | 1659811164 |
---|---|
Entity Type | Organization |
Authorized Contact | WINZETTA M PERRY Owner Provider 402-639-1512 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE ALF354) |
Enumeration Date | 2017-03-02 |
Last Update Date | 2017-03-02 |