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Organization
JCDH INCORPORATED
Active
Organization
JCDH INCORPORATED
Active
Other names
Lebensraum Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE ELAINE CANTRELL NURSING HOME ADMIN. (PRESIDENT)
(308) 382-9066
Entity
Organization
Contact information
Practice address
118 INGALLS ST, GRAND ISLAND, NE 68803-5725
(308) 382-9066
(308) 395-8822
Mailing address
32 KUESTER LK, GRAND ISLAND, NE 68801-8609
(308) 382-5189
(308) 395-8822
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF095
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100260819-00
—
NE
Enumeration date
10/11/2011
Last updated
10/11/2011
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