Cory Bruce Carlow

NPI #1982403580 in La Vista, Nebraska

Provider Information

NPI Number
1982403580
Entity Type
Individual
Name
Cory Bruce Carlow
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 7, 2025
Last Updated
Mar 7, 2025

Practice Location

Address
7403 S 72ND AVE
ZIP Code
68128-2624
Phone
(402) 515-4559

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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