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Organization
LINCOLN IL/AL, LLC
Active
Organization
LINCOLN IL/AL, LLC
Active
Other names
The Residence at Gramercy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LITT (AUTHORIZED SIGNATORY)
(646) 844-3603
Entity
Organization
Contact information
Practice address
6800 A ST, LINCOLN, NE 68510-5134
(402) 483-1010
(402) 483-2197
Mailing address
6800 A ST, LINCOLN, NE 68510-5134
(402) 483-1010
(402) 483-2197
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253009
—
NE
05
—
100268602
—
NE
Enumeration date
01/26/2007
Last updated
05/03/2021
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