Tabitha Grand Island, INC
Assisted Living Facility in Grand Island, NE. Organization (NPI-2).
NPI number1760125199
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1760125199
- Entity type
- Organization (NPI-2)
- Legal business name
- Tabitha Grand Island, INC
- Organization subpart
- Yes
- Enumeration date
- Apr 14, 2022
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Tabitha At Prairie Commons Assisted Living And Memory Care (Doing Business As)
Practice location
3490 Ewoldt StGrand Island, NE 68803-3134
Phone 308-833-6112
Mailing address
4720 Randolph StLincoln, NE 68510-3741
Phone 402-484-9711
Authorized official
Renae Endicott
Assistant Director Of Finance
4024849711
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