| NPI | 1750763751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY L. KOZEAL President/Administrator 402-821-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |