# GRAND ISLAND HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tiffany Square Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003924929
- **Authorized official:** JACK DEAN VETTER (PRESIDENT)
- **Authorized official phone:** (402) 895-3932

## Contact information

- **Practice address:** 3119 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4114
- **Practice address phone:** (308) 384-2333
- **Practice address fax:** (308) 384-3620
- **Mailing address:** 3119 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4114
- **Mailing address phone:** (308) 384-2333
- **Mailing address fax:** (308) 384-3620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 374006 | NE | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 07/23/2009
