NPI | 1891711727 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD F. FETTERS Administrator 402-441-7101 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 504007) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE 504007) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2008-06-10 |