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Organization

GRACELAND SENIOR LIVING, INC.

Active
Other names
Keystone Villas Senior Living
Organization subpart
No

Provider details

NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization

Contact information

Practice address
7350 GRACELAND DR, OMAHA, NE 68134-4328
(402) 572-5750
(402) 572-5777
Mailing address
7350 GRACELAND DR, OMAHA, NE 68134-4328
(402) 572-5750
(402) 572-5777

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000
NE
Enumeration date
01/15/2015
Last updated
05/15/2021
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