Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long-Term Care |
364SL0600X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1609580554 |
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| LBN Legal business name | THE NEBRASKA MASONIC HOME | ||||
| Authorized official | APRIL JOHNSTON - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/05/2023 | ||||
| Last updated | 01/05/2023 - About 3 years ago | ||||
| Identifiers |
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THE NEBRASKA MASONIC HOME
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