| NPI | 1790706034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA HUNT Health Information Manager 402-471-1831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 374004) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE ALF293) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2018-12-14 |