| NPI | 1750066841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGBO LAY Owner 402-298-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-12-17 |