| NPI | 1811335839 |
|---|---|
| Doing Business As | THE LIGHTHOUSE AT LAKESIDE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | ERIC N GURLEY President And CEO 402-829-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-05-30 |