Organization
LIBERTY HOUSE WAHOO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL PINKERTON (OWNER)
(308) 530-2688
Entity
Organization
Contact information
Practice address
1145 N LAUREL ST, WAHOO, NE 68066-1244
(402) 443-5505
Mailing address
5919 MAPLE ST, OMAHA, NE 68104-4101
(402) 681-5018
(402) 558-4700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF 298
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025480800
—
NE
Enumeration date
08/23/2011
Last updated
08/23/2011
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