Midwest Care Granville Villa LLC
NPI #1578841599 in La Vista, Nebraska
Provider Information
- NPI Number
- 1578841599
- Entity Type
- Organization
- Organization Name
- Midwest Care Granville Villa LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 25, 2011
- Last Updated
- Jul 25, 2011
Practice Location
Authorized Official
- Name
- MR. JONATHAN MATTHEW OHLSEN-JOHNSON, J.D.
- Title
- GENERAL COUNSEL
- Phone
- (541) 543-1215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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