NPI | 1679703052 |
---|---|
Doing Business As | NORTHCREST LIVING CENTER |
Entity Type | Organization |
Authorized Contact | STEVEN K. CHAMLEY Administrator 402-536-0822 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 780853) |
Enumeration Date | 2009-07-21 |
Last Update Date | 2009-10-29 |