Organization
MANOR OF LINCOLN, INC
Active
Other names
Southlake Village Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DEAN VETTER (PRESIDENT)
(402) 895-3932
Entity
Organization
Contact information
Practice address
9401 ANDERMATT DR, LINCOLN, NE 68526-9507
(402) 476-3274
(402) 746-6395
Mailing address
9401 ANDERMATT DR, LINCOLN, NE 68526-9507
(402) 476-3274
(402) 746-6395
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
504010
NE
Other
Enumeration date
08/29/2006
Last updated
08/03/2011
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