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Organization
TABITHA, INC.
Active
Organization
TABITHA, INC.
Active
Other names
Tabitha Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE ENDICOTT (ASSISTANT DIRECTOR OF FINANCE)
(402) 484-9711
Entity
Organization
Contact information
Practice address
4720 RANDOLPH STREET, LINCOLN, NE 68510-3741
(402) 483-7671
(402) 486-8539
Mailing address
4720 RANDOLPH ST, LINCOLN, NE 68510-3741
(402) 486-8539
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
504009
NE
314000000X
Skilled Nursing Facility
Primary
504009
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00525
SNF (BCBS OF NE)
NE
01
—
08982
DME/SUPPLIES (BCBS OF NE)
NE
Enumeration date
11/02/2006
Last updated
12/12/2024
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