Organization
GREYSTONE MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSITSI PRINCE LPN (DIRECTOR)
(503) 899-7300
Entity
Organization
Contact information
Practice address
8710 COLBY ST, LINCOLN, NE 68505-3710
(503) 899-7300
Mailing address
8710 COLBY ST, LINCOLN, NE 68505-3710
(503) 899-7300
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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