Organization
MERIDIAN GARDENSOPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALAN ZEHR (EXECUTIVE DIRECTOR)
(402) 564-6300
Entity
Organization
Contact information
Practice address
4515 38TH ST, COLUMBUS, NE 68601-1609
(402) 564-6300
(402) 562-4594
Mailing address
4515 38TH ST, COLUMBUS, NE 68601-1609
(402) 564-6300
(402) 562-4594
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254514/00
—
NE
Enumeration date
05/26/2011
Last updated
05/26/2011
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