Garden Square Llc

NPI 1487877510 - Assisted Living Facility - 310400000X

NPI Details
NPI 1487877510
Enumeration Date 04/10/2007
Last Updated 06/24/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIMBERLY A KIMBERLY
Position ADMINISTRATOR
Phone (402) 826-2241
Fax (402) 826-2775
Practice Location
1405 HICKORY AVE
CRETE NE, 68333-1955, US
Phone (402) 826-2241
Fax (402) 826-2775
Business Location
1405 HICKORY AVE
CRETE NE, 68333-1955, US
Phone (402) 826-2241
Fax (402) 826-2775
Toxanomy
Taxonomy Code 310400000X
License State Nebraska
License Number ALF063
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According to our database, Garden Square Llc NPI is 1487877510, taxonomy code is 310400000X and license number is ALF063, license state is located at Nebraska. Garden Square Llc physically located at 1405 Hickory Ave, Crete NE, 68333-1955. NPI Number 1033115704 has the healthcare provider type.

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1487877510 NPI number is provided on an as is basis without warranty of any kind. 1487877510 is maintained by the National Plan & Provider Enumeration System. The contents of Garden Square Llc are for informational purposes only.