Sl Wahoo, LLC

NPI #1992179675 in Wahoo, Nebraska

Provider Information

NPI Number
1992179675
Entity Type
Organization
Organization Name
Sl Wahoo, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 18, 2015
Last Updated
Dec 1, 2015

Practice Location

Address
1313 N HACKBERRY ST
City
Wahoo
ZIP Code
68066-1148
Phone
(402) 443-3333

Authorized Official

Name
DAMIEN SIMMONS
Title
EXECUTIVE DIRECTOR
Phone
(402) 443-3333

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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