# TABITHA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tabitha in Crete: The Gardens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518288414
- **Authorized official:** RENAE ENDICOTT (ASSISTANT DIRECTOR OF FINANCE)
- **Authorized official phone:** (402) 484-9711

## Contact information

- **Practice address:** 1405 HICKORY AVE, CRETE, NE 68333-1955
- **Practice address phone:** (402) 483-7671
- **Practice address fax:** (402) 486-8539
- **Mailing address:** 4720 RANDOLPH ST, LINCOLN, NE 68510-3741
- **Mailing address phone:** (402) 483-7671
- **Mailing address fax:** (402) 486-8539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF063 | NE | Yes |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 12/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100252010-00 | — | NE |
| 05 | — | 10025201000 | — | NE |