Organization
GARDEN SQUARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY A SASEK (ADMINISTRATOR)
(402) 826-2241
Entity
Organization
Contact information
Practice address
1405 HICKORY AVE, CRETE, NE 68333-1955
(402) 826-2241
(402) 826-2775
Mailing address
1405 HICKORY AVE, CRETE, NE 68333-1955
(402) 826-2241
(402) 826-2775
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025201000
—
NE
Enumeration date
04/10/2007
Last updated
06/24/2008
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