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Organization
PAPILLION SHADOW LAKE OPERATING COMPANY LLC
Active
Organization
PAPILLION SHADOW LAKE OPERATING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF EMANUEL (PRINCIPAL)
(917) 745-7945
Entity
Organization
Contact information
Practice address
1507 E GOLD COAST RD # NE6, PAPILLION, NE 68046-4722
(917) 745-7945
Mailing address
1507 E GOLD COAST RD # NE6, PAPILLION, NE 68046-4722
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
09/23/2026
Last updated
09/23/2026
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