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Organization
TABITHA GRAND ISLAND, INC
Active
Organization
TABITHA GRAND ISLAND, INC
Active
Other names
Tabitha at Prairie Commons
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE ENDICOTT (ASSISTANT DIRECTOR OF FINANCE)
(402) 484-9711
Entity
Organization
Contact information
Practice address
3490 EWOLDT ST, GRAND ISLAND, NE 68803-3134
(308) 833-6112
Mailing address
4720 RANDOLPH ST, LINCOLN, NE 68510-3741
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
04/14/2022
Last updated
12/12/2024
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