Organization
TABITHA GRAND ISLAND, INC
Active
Parent organization
TABITHA GRAND ISLAND, INC
Other names
Tabitha at Prairie Commons Assisted Living and Memory Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TABITHA GRAND ISLAND, INC
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
(402) 484-9711
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
12/12/2024
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