Grand Island Park Operations LLC
NPI #1104388040 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1104388040
- Entity Type
- Organization
- Organization Name
- Grand Island Park Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 1, 2019
- Last Updated
- Apr 1, 2019
Practice Location
- Address
- 610 N DARR AVE
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-4635
- Phone
- (308) 382-2635
Authorized Official
- Name
- EPHRAM LAHASKY
- Title
- MEMBER
- Phone
- (646) 772-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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