Organization Name: | IMMANUEL AFFORDABLE II INC. |
NPI Number: | 1336446350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC GURLEY (CEO/PRESIDENT) |
Mailing Address: | 6759 Newport Ave Ste 100 Omaha |
State: | NE US |
Postal Code: | 681522159 |
Phone Number: | 4028292990 |
Fax Number: | 4028292940 |
NPI Enumeration Date: | 02/28/2011 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | ALF273 |
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. |