# MANOR OF LINCOLN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southlake Village Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407964240
- **Authorized official:** JACK DEAN VETTER (PRESIDENT)
- **Authorized official phone:** (402) 895-3932

## Contact information

- **Practice address:** 9401 ANDERMATT DR, LINCOLN, NE 68526-9507
- **Practice address phone:** (402) 476-3274
- **Practice address fax:** (402) 746-6395
- **Mailing address:** 9401 ANDERMATT DR, LINCOLN, NE 68526-9507
- **Mailing address phone:** (402) 476-3274
- **Mailing address fax:** (402) 746-6395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 504010 | NE | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/03/2011