Organization
TABITHA INC
Active
Other names
Tabitha in Crete: The Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE ENDICOTT (ASSISTANT DIRECTOR OF FINANCE)
(402) 484-9711
Entity
Organization
Contact information
Practice address
1405 HICKORY AVE, CRETE, NE 68333-1955
(402) 483-7671
(402) 486-8539
Mailing address
4720 RANDOLPH ST, LINCOLN, NE 68510-3741
(402) 483-7671
(402) 486-8539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252010-00
—
NE
05
—
10025201000
—
NE
Enumeration date
06/15/2010
Last updated
12/12/2024
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