NPI | 1962791764 |
---|---|
Doing Business As | 400 STATE BUILDING |
Entity Type | Organization |
Authorized Contact | CORINA HARRISON Facility Administrator 402-223-6600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NE ICFMR07) |
Enumeration Date | 2011-04-01 |
Last Update Date | 2022-10-20 |