GRANVILLE ASSISTED LIVING, LLC is a point of service in La Vista, NE. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. GRANVILLE ASSISTED LIVING, LLC NPI is 1730385709. The provider is registered as an organization entity type.
The provider's business location address is:
5807 GRANVILLE PARKWAY
LA VISTA, NE
ZIP 68128
Phone: (402) 933-6405
Fax: (402) 505-9144
The provider's authorized official is John Holtz .
The authorized official title is Controller and has the following contact phone number (541) 747-3373.
The CLIA number assigned to this NPI record is 28D1026438 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/26/2007 and was last updated on 5/13/2008.