| NPI | 1922267624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN RENEE RATHBUN Physical Therapist Assistant 402-499-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE 330) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |