Organization
GRAND LIVING ALTERNATIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NIELSEN (MANAGEMENT COMPANY)
(308) 730-0715
Entity
Organization
Contact information
Practice address
827 N 19TH ST, ORD, NE 68862-1084
(308) 728-3967
(308) 728-7958
Mailing address
827 N 19TH ST, ORD, NE 68862-1084
(308) 728-3967
(308) 728-7958
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF213
NE
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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