PAPILLION VA COMNTY LIVING CTR (4621) INSTITUTION (4)

Name	Value
NAME	PAPILLION VA COMNTY LIVING CTR
STATE	NEBRASKA
STREET ADDR. 1	11111 S 84TH ST STE 5000
CITY	PAPILLION
ZIP	68046-4122
OFFICIAL VA NAME	PAPILLION VA COMNTY LIVING CTR
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	PAPILLION VA CLC
EFFECTIVE DATE/TIME	2022-05-17 00:00:00 STATUS: ACTIVE NPI: 1417694290
TAXONOMY CODE	Nursing & Custodial Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	6369BA
HISTORY