NPI | 1770571606 |
---|---|
Doing Business As | BLUE VALLEY CARE HOME |
Entity Type | Organization |
Authorized Contact | LYLE HIGHT Chief Executive Officer 402-768-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2005-10-13 |
Last Update Date | 2022-07-21 |