CMS Certification Number (CCN): 285057
Address: 4720 RANDOLPH STREET, LINCOLN, NE, 68510
Telephone: 4024837671
Ownership Type: Non profit - Corporation
Number of Certified Beds: 197
Average Number of Residents per Day: 137.6
Provider Type: nan
Overall Rating: Yes
Most Recent Health Inspection: N
Legal Business Name: N
Date First Approved: TABITHA, INC.
Affiliated Entity: 1981-04-01
CMS State Operations Manual: Link
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