| NPI | 1982739322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA KAY OBERG Physical Therapist Assistant 402-484-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 575) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |