Liberty House Wahoo

LBN: Liberty House Wahoo
Liberty House Wahoo is an health care organization with primary practice located at 1145 N Laurel St , Wahoo NE 68066-1244. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Liberty House Wahoo can be contacted via phone (402) 443-5505, or through Pinkerton, Rachel via phone (308) 530-2688.

Contact Information

Primary practice address
1145 N Laurel St Wahoo NE 68066-1244
Fax:
Website:
Authorized official contact:
Name: Pinkerton, Rachel

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALF 298 Nebraska

Profile Details

NPI number 1609156520
LBN Legal business name Liberty House Wahoo
DBA Doing business as
Authorized official Pinkerton, Rachel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2011
Last updated Aug 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609156520 NPPES
Nebraska MEDICAID 10025480800

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