Organization
TABITHA, INC.
Active
Other names
Tabitha In Crete
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE ENDICOTT (ASSISTANT DIRECTOR OF FINANCE)
(402) 484-9711
Entity
Organization
Contact information
Practice address
1800 E 13TH ST, CRETE, NE 68333-1912
(402) 826-6889
(402) 486-8539
Mailing address
4720 RANDOLPH ST, LINCOLN, NE 68510-3741
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0003
NE
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025440100
—
NE
Enumeration date
01/02/2007
Last updated
12/12/2024
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