# GRAND ISLAND PARK OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104388040
- **Authorized official:** EPHRAM LAHASKY (MEMBER)
- **Authorized official phone:** (646) 772-3668

## Contact information

- **Practice address:** 610 N DARR AVE, GRAND ISLAND, NE 68803-4635
- **Practice address phone:** (308) 382-2635
- **Mailing address:** 610 N DARR AVE, GRAND ISLAND, NE 68803-4635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 04/01/2019