Organization
VSL LINCOLN SOUTHLAKE LLC
Active
Other names
Southlake Village, Southlake Village Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK D VETTER (CEO)
(402) 895-3932
Entity
Organization
Contact information
Practice address
9401 ANDERMATT DR, LINCOLN, NE 68526-9507
(402) 476-3274
(402) 476-6395
Mailing address
20220 HARNEY ST, ELKHORN, NE 68022-2063
(402) 885-6120
(402) 895-8165
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH00011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH00011
FACILITY LICENSE
NE
Enumeration date
06/10/2017
Last updated
07/24/2025
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