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Organization
VSL LINCOLN SOUTHLAKE LLC
Active
Organization
VSL LINCOLN SOUTHLAKE LLC
Active
Other names
Southlake Village, Southlake Village Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK D VETTER (CEO)
(402) 895-3932
Entity
Organization
Contact information
Practice address
9401 ANDERMATT DR, LINCOLN, NE 68526-9507
(402) 476-3274
(402) 476-6395
Mailing address
20220 HARNEY ST, ELKHORN, NE 68022-2063
(402) 885-6120
(402) 895-8165
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH00011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH00011
FACILITY LICENSE
NE
Enumeration date
06/10/2017
Last updated
07/24/2025
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