NPI | 1922033273 |
---|---|
Doing Business As | PONDEROSA VILLA |
Entity Type | Organization |
Authorized Contact | KATHY ANDERSEN Administrator 308-665-1224 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 214002) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2013-01-03 |