# SL NORFOLK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245604024
- **Authorized official:** JOCELYN BORUCH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (402) 644-4567

## Contact information

- **Practice address:** 1120 N 1ST ST, NORFOLK, NE 68701-0904
- **Practice address phone:** (402) 644-4567
- **Practice address fax:** (402) 644-8111
- **Mailing address:** 1120 N 1ST ST, NORFOLK, NE 68701-0904
- **Mailing address phone:** (402) 644-4567
- **Mailing address fax:** (402) 644-8111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF103 | NE | Yes |

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 12/01/2015