# VSL LOUP CITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rose Lane Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235669862
- **Authorized official:** JACK D VETTER (CEO)
- **Authorized official phone:** (402) 895-3932

## Contact information

- **Practice address:** 1005 N 8TH ST, LOUP CITY, NE 68853-8215
- **Practice address phone:** (308) 745-0303
- **Practice address fax:** (308) 745-0253
- **Mailing address:** 20220 HARNEY ST, ELKHORN, NE 68022-2063
- **Mailing address phone:** (402) 885-6120
- **Mailing address fax:** (402) 895-8165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 744001 | NE | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 06/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 744001 | FACILITY LICENSE | NE |