Organization
THE INDEPENDENCE HOUSE SUPERIOR-AUTUMN HOUSE
Active
Parent organization
EMERALD CARE COMPANY
Other names
Emerald Care Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMERALD CARE COMPANY
Authorized official
MS. MARSHA E. STORK (PRESIDENT)
(402) 475-7755
Entity
Organization
Contact information
Practice address
1740 SUPERIOR ST, LINCOLN, NE 68521-1502
(402) 438-7844
(888) 699-1112
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
ALF172
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249578-00
—
NE
Enumeration date
12/27/2010
Last updated
11/26/2012
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