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 |