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Organization

LEGACY ESTATES MANAGEMENT, LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAY BOHLKEN (EXECUTIVE DIRECTOR)
(402) 484-8888
Entity
Organization

Contact information

Practice address
7200 VAN DORN ST, LINCOLN, NE 68506-3716
(402) 484-8888
(402) 484-3859
Mailing address
7200 VAN DORN ST, LINCOLN, NE 68506-3716
(402) 484-8888
(402) 484-3859

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF282
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025084200
NE
Enumeration date
01/05/2011
Last updated
01/05/2011
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