Organization
DT WOODBINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON KAMINER (MANAGER)
(712) 647-2010
Entity
Organization
Contact information
Practice address
1109 NORMAL ST, WOODBINE, IA 51579-1091
(712) 647-2010
Mailing address
702 S HIGHWAY 6, GRETNA, NE 68028-7970
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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