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Organization
SKYLINE
Active
Organization
SKYLINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHARP (MD)
(402) 557-6631
Entity
Organization
Contact information
Practice address
7350 GRACELAND DR, OMAHA, NE 68134-4328
(402) 557-6631
Mailing address
7350 GRACELAND DR, OMAHA, NE 68134-4328
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
370
NE
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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