| NPI | 1801991153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEEMER Administrator 402-685-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE 084002) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-05-18 |