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Organization

LINCOLN COUNTRYHOUSE III, LLC

Active
Other names
CountryHouse Residence
Organization subpart
No

Provider details

NPI number
Authorized official
SUZY JESSICA NOOTZ (EXECUTIVE DIRECTOR)
(402) 421-2200
Entity
Organization

Contact information

Practice address
240 S 70TH ST, LINCOLN, NE 68510-2406
(402) 421-2200
(531) 289-1494
Mailing address
240 S 70TH ST, LINCOLN, NE 68510-2406
(402) 421-2200
(531) 289-1494

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
ALF369
NE

Other

Enumeration date
07/27/2017
Last updated
07/21/2022
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