| NPI | 1811086721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J. HIXSON CFO 402-358-5715 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE LTCH008) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NE LTCH008) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-11-21 |