SHALIMAR GARDENS ASSISTED LIVING NPI 1508159591

NPI Information

SHALIMAR GARDENS ASSISTED LIVING is an assisted living facility in Fremont, NE. The provider is 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. SHALIMAR GARDENS ASSISTED LIVING NPI is 1508159591. The provider is registered as an organization entity type.

The provider's business location address is:

749 E 29TH ST
FREMONT, NE
ZIP 68025-711
Phone: (402) 721-1616
Fax: (402) 753-8080

The provider's authorized official is Ina Carroll .
The authorized official title is Executive Director and has the following contact phone number (402) 721-1616.

The CLIA number assigned to this NPI record is 28D1007193 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2011 and was last updated on 5/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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