| NPI | 1912034620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH ROSE ELLIOTT Administrator 402-773-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 164003) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE 164003) |
| 310400000X Assisted Living Facility (Licence: NE ALF235) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-02-05 |