Provider Demographics
NPI:1881884625
Name:DOUGLAS COUNTY HOUSING AUTHORITY
Entity type:Organization
Organization Name:DOUGLAS COUNTY HOUSING AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERTOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-359-4884
Mailing Address - Street 1:1006 S MAYNE ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68064-2004
Mailing Address - Country:US
Mailing Address - Phone:402-359-4884
Mailing Address - Fax:402-359-4600
Practice Address - Street 1:1006 S MAYNE ST
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:NE
Practice Address - Zip Code:68064-2004
Practice Address - Country:US
Practice Address - Phone:402-359-4884
Practice Address - Fax:402-359-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF288310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility