| NPI | 1952070096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIETTO L VASCO Managing Partner 402-988-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2021-09-11 |