| NPI | 1699756742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY A BRIDGE Administrator 308-638-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 734002) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-08-07 |