Organization
DELMAR GARDENS OF OMAHA, LLC
Active
Other names
St. Joseph Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL LEE HARTMANN (TREASURER)
(636) 733-7000
Entity
Organization
Contact information
Practice address
2305 S 10TH ST, OMAHA, NE 68108-1108
(402) 345-5683
(402) 345-1817
Mailing address
14805 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63017-6060
(636) 733-7000
(636) 733-7010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
264017
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252596-00
—
NE
Enumeration date
09/16/2005
Last updated
01/12/2016
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