Organization
GOLDEN LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA SMITH ED (EXECUTIVE DIRECTOR)
(140) 255-8022
Entity
Organization
Contact information
Practice address
5505 GROVER ST, OMAHA, NE 68106-3718
(402) 558-0227
Mailing address
5505 GROVER ST, OMAHA, NE 68106-3718
(402) 558-0227
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
111121
NE
314000000X
Skilled Nursing Facility
Primary
111121
NE
315D00000X
Inpatient Hospice
111121
NE
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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