Organization
THE INDEPENDENCE HOUSE MANDARIN
Active
Parent organization
EMERALD CARE CO.
Other names
Emerald Care Co.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMERALD CARE CO.
Authorized official
MS. MARSHA E. STORK (PRESIDENT)
(402) 475-7755
Entity
Organization
Contact information
Practice address
4610 MANDARIN CIR, LINCOLN, NE 68516-4434
(402) 488-2755
(888) 623-1116
Mailing address
1609 N ST, LINCOLN, NE 68508-1884
(402) 475-7755
(402) 474-2391
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
ALF251
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253014-00
—
NE
Enumeration date
12/27/2010
Last updated
11/26/2012
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