Organization Name: | WEL-LIFE AT OGALLALA, INC |
NPI Number: | 1811280118 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL L MOORE (CFO) |
Mailing Address: | 1610 N Spruce St Ogallala |
State: | NE US |
Postal Code: | 691533321 |
Phone Number: | 3082842620 |
Fax Number: | 3082840929 |
NPI Enumeration Date: | 05/18/2011 |
NPI Last Update Date: | 05/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |