Organization
TABITHA GRAND ISLAND, INC
Active
Other names
Tabitha at Prairie Commons
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE ENDICOTT (ASSISTANT DIRECTOR OF FINANCE)
(402) 484-9711
Entity
Organization
Contact information
Practice address
3490 EWOLDT ST, GRAND ISLAND, NE 68803-3134
(308) 833-6112
Mailing address
4720 RANDOLPH ST, LINCOLN, NE 68510-3741
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
12/12/2024
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