OrganizationActive
5410 17th Ave Ne Opco LLC
NPI 1619784147 · Assisted Living Facility · Kearney, NE
Provider details
- NPI number
- 1619784147
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Laura Gamble, Senior Account Manager
Mailing address
333 S Broadway Ave
Wichita, KS 67202-4300
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.