| NPI | 1851103162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA COLVIN CEO 402-706-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |