# LINCOLN IL/AL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Residence at Gramercy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710033139
- **Authorized official:** JONATHAN LITT (AUTHORIZED SIGNATORY)
- **Authorized official phone:** (646) 844-3603

## Contact information

- **Practice address:** 6800 A ST, LINCOLN, NE 68510-5134
- **Practice address phone:** (402) 483-1010
- **Practice address fax:** (402) 483-2197
- **Mailing address:** 6800 A ST, LINCOLN, NE 68510-5134
- **Mailing address phone:** (402) 483-1010
- **Mailing address fax:** (402) 483-2197

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 05/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100253009 | — | NE |
| 05 | — | 100268602 | — | NE |