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Organization
MANOR OF LINCOLN, INC
Active
Organization
MANOR OF LINCOLN, INC
Active
Other names
Southlake Village Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DEAN VETTER (PRESIDENT)
(402) 895-3932
Entity
Organization
Contact information
Practice address
9401 ANDERMATT DR, LINCOLN, NE 68526-9507
(402) 476-3274
(402) 746-6395
Mailing address
9401 ANDERMATT DR, LINCOLN, NE 68526-9507
(402) 476-3274
(402) 746-6395
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
504010
NE
Other
Enumeration date
08/29/2006
Last updated
08/03/2011
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