# LIBERTY HOUSE WAHOO

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

## Provider details

- **NPI number:** 1609156520
- **Authorized official:** MRS. RACHEL PINKERTON (OWNER)
- **Authorized official phone:** (308) 530-2688

## Contact information

- **Practice address:** 1145 N LAUREL ST, WAHOO, NE 68066-1244
- **Practice address phone:** (402) 443-5505
- **Mailing address:** 5919 MAPLE ST, OMAHA, NE 68104-4101
- **Mailing address phone:** (402) 681-5018
- **Mailing address fax:** (402) 558-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF 298 | NE | Yes |

## Other

- **Enumeration date:** 08/23/2011
- **Last updated:** 08/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025480800 | — | NE |