WC-GRANVILLE VILLA OPS LLC NPI 1770988941

NPI Information

WC-GRANVILLE VILLA OPS, LLC is an assisted living facility in La Vista, NE. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WC-GRANVILLE VILLA OPS, LLC NPI is 1770988941. The provider is registered as an organization entity type.
The provider Is Doing Business As Granville Villa Assisted Living.

The provider's business location address is:

8507 GRANVILLE PKWY
LA VISTA, NE
ZIP 68128-212
Phone: (402) 933-6405
Fax: (402) 505-9144

The provider's authorized official is Collette Mieres .
The authorized official title is Executive Director and has the following contact phone number (402) 933-6405.

The enumeration date for this NPI number is 10/29/2014 and was last updated on 2/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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