# HERITAGE OF WAHOO, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** South Haven Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467561100
- **Authorized official:** JACK DEAN VETTER (PRESIDENT)
- **Authorized official phone:** (402) 895-3932

## Contact information

- **Practice address:** 1400 MARK DR, WAHOO, NE 68066-4023
- **Practice address phone:** (402) 443-3737
- **Practice address fax:** (402) 443-5867
- **Mailing address:** 1400 MARK DR, WAHOO, NE 68066-4023
- **Mailing address phone:** (402) 443-3737
- **Mailing address fax:** (402) 443-5867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 694005 | NE | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 07/02/2008