| NPI | 1720630635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W KLAASMEYER President 402-525-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2020-08-18 |