NPI 1760125199
Tabitha Grand Island, INC
Practice location
- Address
- 3490 Ewoldt St, Grand Island, NE 68803-3134
- Phone
- (308) 833-6112
- Mailing address
- 4720 Randolph St, Lincoln, NE 68510-3741
Authorised official
- Name
- Renae Endicott
- Title
- Assistant Director of Finance
- Phone
- (402) 484-9711
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1760125199
- Entity type
- Organization
- NPI issued
- 14 Apr 2022
- Record last updated
- 12 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.