# SHALIMAR GARDENS ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508159591
- **Authorized official:** INA CARROLL RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (402) 721-1616

## Contact information

- **Practice address:** 749 E 29TH ST, FREMONT, NE 68025-7711
- **Practice address phone:** (402) 721-1616
- **Practice address fax:** (402) 753-8080
- **Mailing address:** 749 E 29TH ST, FREMONT, NE 68025-7711
- **Mailing address phone:** (402) 721-1616
- **Mailing address fax:** (402) 753-8080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF257 | NE | Yes |

## Other

- **Enumeration date:** 05/24/2011
- **Last updated:** 05/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100252898-00 | — | NE |