# JCDH INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lebensraum Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245514165
- **Authorized official:** MS. JOYCE ELAINE CANTRELL NURSING HOME ADMIN. (PRESIDENT)
- **Authorized official phone:** (308) 382-9066

## Contact information

- **Practice address:** 118 INGALLS ST, GRAND ISLAND, NE 68803-5725
- **Practice address phone:** (308) 382-9066
- **Practice address fax:** (308) 395-8822
- **Mailing address:** 32 KUESTER LK, GRAND ISLAND, NE 68801-8609
- **Mailing address phone:** (308) 382-5189
- **Mailing address fax:** (308) 395-8822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF095 | NE | Yes |

## Other

- **Enumeration date:** 10/11/2011
- **Last updated:** 10/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100260819-00 | — | NE |