1500 East 11th St NE Opco LLC

NPI #1720895253 in Mc Cook, Nebraska

Provider Information

NPI Number
1720895253
Entity Type
Organization
Organization Name
1500 East 11th St NE Opco LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 17, 2024
Last Updated
Dec 18, 2024

Practice Location

Address
1500 E 11TH ST
ZIP Code
69001-3417
Phone
(316) 239-6662

Authorized Official

Name
LAURA GAMBLE
Title
SENIOR ACCOUNT MANAGER
Phone
(316) 239-6662

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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