| NPI | 1770911240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI M HANSEN CEO 402-630-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-21 |