Organization Name: | CSL WOODBRIDGE LLC |
NPI Number: | 1194037242 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLORIA HOLLAND (VP-FINANCE) |
Mailing Address: | 1913 E Hwy 34 Plattsmouth |
State: | NE US |
Postal Code: | 68048 |
Phone Number: | 4022965133 |
Fax Number: | 4022963382 |
NPI Enumeration Date: | 07/06/2010 |
NPI Last Update Date: | 07/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | ALF198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |