Granville Assisted Living, LLC

NPI #1730385709 in La Vista, Nebraska

Provider Information

NPI Number
1730385709
Entity Type
Organization
Organization Name
Granville Assisted Living, LLC
Primary Specialty
Point of Service
Enumeration Date
Jun 26, 2007
Last Updated
May 13, 2008

Practice Location

Address
5807 GRANVILLE PARKWAY
ZIP Code
68128
Phone
(402) 933-6405

Authorized Official

Name
MR. JOHN HOLTZ
Title
CONTROLLER
Phone
(541) 747-3373

Specialties & Taxonomy Codes

Specialty
Point of Service

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