# LINCOLN COUNTRYHOUSE II LLC

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

## Provider details

- **NPI number:** 1922571462
- **Authorized official:** LAURA THELEN (DIRECTOR)
- **Authorized official phone:** (402) 421-1300

## Contact information

- **Practice address:** 6616 S 84TH STREET, LINCOLN, NE 68516
- **Practice address phone:** (402) 421-1300
- **Mailing address:** 6616 S 84TH STREET, LINCOLN, NE 68516
- **Mailing address phone:** (402) 421-1300

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 01/08/2019