Gahc3 Bennington NE Alf Trs Sub, LLC
NPI #1629458351 in Bennington, Nebraska
Provider Information
- NPI Number
- 1629458351
- Entity Type
- Organization
- Organization Name
- Gahc3 Bennington NE Alf Trs Sub, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 8, 2015
- Last Updated
- Jun 8, 2015
Practice Location
- Address
- 12301 N 149TH CIR
- City
- Bennington
- State
- Nebraska
- ZIP Code
- 68007-5775
- Phone
- (402) 884-7644
Authorized Official
- Name
- DANNY PROSKY
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (949) 270-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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