Organization
JCDH INCORPORATED
Active
Other names
Lebensraum Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE ELAINE CANTRELL NURSING HOME ADMIN. (PRESIDENT)
(308) 382-9066
Entity
Organization
Contact information
Practice address
118 INGALLS ST, GRAND ISLAND, NE 68803-5725
(308) 382-9066
(308) 395-8822
Mailing address
32 KUESTER LK, GRAND ISLAND, NE 68801-8609
(308) 382-5189
(308) 395-8822
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF095
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100260819-00
—
NE
Enumeration date
10/11/2011
Last updated
10/11/2011
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