CMS Certification Number (CCN): 285098
Address: 12856 DEAUVILLE DRIVE, OMAHA, NE, 68137
Telephone: 4028952266
Ownership Type: Non profit - Corporation
Number of Certified Beds: 106
Average Number of Residents per Day: 58.7
Provider Type: nan
Overall Rating: Yes
Most Recent Health Inspection: N
Legal Business Name: N
Date First Approved: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Affiliated Entity: 1990-07-16
CMS State Operations Manual: Link
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