# PAPILLION SHADOW LAKE OPERATING COMPANY LLC

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

## Provider details

- **NPI number:** 1225941214
- **Authorized official:** YOSEF EMANUEL (PRINCIPAL)
- **Authorized official phone:** (917) 745-7945

## Contact information

- **Practice address:** 1507 E GOLD COAST RD \# NE6, PAPILLION, NE 68046-4722
- **Practice address phone:** (917) 745-7945
- **Mailing address:** 1507 E GOLD COAST RD \# NE6, PAPILLION, NE 68046-4722

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2026
- **Last updated:** 09/23/2026