| NPI | 1740220268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BURRY Administrator 308-586-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 544001) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE ALF253) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-12-06 |