28D2036259 CLIA NUMBER - GRACEPOINTE ASSISTED LIVING & MEMORY CARE SUITES

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Laboratory Demographics

CLIA Number: 28D2036259

Facility Name: GRACEPOINTE ASSISTED LIVING & MEMORY CARE SUITES

Facility Address:
4620 RANDOLPH STREET
LINCOLN, NE
ZIP 68510
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Facility Phone Number: 402 484-9888

Facility Type: Other - MEMORY CARE UNIT

Certificate Type: Waiver

NPI Number: 1659663870

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	28D2036259
LAB Type	Other - MEMORY CARE UNIT
Facility Name	GRACEPOINTE ASSISTED LIVING & MEMORY CARE SUITES
Street	4620 RANDOLPH STREET
City	LINCOLN
State	NE
ZIP	68510
Phone	402 484-9888
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024