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Organization
SOUTHVIEW HEIGHTS
Active
Organization
SOUTHVIEW HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENNY JOHN GRIGAITIS (ADMINISTRATOR)
(402) 714-5087
Entity
Organization
Contact information
Practice address
5110 S 49TH ST, OMAHA, NE 68117-2159
(402) 731-2118
(402) 733-2778
Mailing address
5110 S 49TH ST, OMAHA, NE 68117-2159
(402) 731-2118
(402) 733-2778
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF161
NE
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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