# GAHC3 BENNINGTON NE ALF TRS SUB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridgewood Active Retirement Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629458351
- **Authorized official:** DANNY PROSKY (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (949) 270-9200

## Contact information

- **Practice address:** 12301 N 149TH CIR, BENNINGTON, NE 68007-5775
- **Practice address phone:** (402) 884-7644
- **Practice address fax:** (402) 884-8631
- **Mailing address:** 12301 N 149TH CIR, BENNINGTON, NE 68007-5775
- **Mailing address phone:** (402) 884-7644
- **Mailing address fax:** (402) 884-8631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 06/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025948400 | — | NE |