Organization
SHILOH PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WHITTEN (MANAGING MEMBER)
(402) 208-8859
Entity
Organization
Contact information
Practice address
915 N H ST, FREMONT, NE 68025-4138
(402) 721-9130
Mailing address
915 N H ST, FREMONT, NE 68025-4138
(402) 712-9130
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF355
NE
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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