| 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 |