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Organization

SL WAHOO, LLC

Active
Other names
Saunders House
Organization subpart
No

Provider details

NPI number
Authorized official
DAMIEN SIMMONS (EXECUTIVE DIRECTOR)
(402) 443-3333
Entity
Organization

Contact information

Practice address
1313 N HACKBERRY ST, WAHOO, NE 68066-1148
(402) 443-3333
(402) 443-5578
Mailing address
1313 N HACKBERRY ST, WAHOO, NE 68066-1148
(402) 443-3333
(402) 443-5578

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF152
NE

Other

Enumeration date
11/18/2015
Last updated
12/01/2015
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