WILCOX PROPERTIES OF FORT CALHOUN LLC NPI 1912133976

NPI Information

WILCOX PROPERTIES OF FORT CALHOUN, LLC is an assisted living facility in Fort Calhoun, 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. WILCOX PROPERTIES OF FORT CALHOUN, LLC NPI is 1912133976. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumn Pointe.

The provider's business location address is:

501 N 13TH ST
FORT CALHOUN, NE
ZIP 68023-054
Phone: (402) 468-4700
Fax: (402) 468-4704

The provider's authorized official is Jean L Wilcox .
The authorized official title is Managing Member and has the following contact phone number (402) 898-1079.

The CLIA number assigned to this NPI record is 28D1072022 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2009 and was last updated on 8/23/2011.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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