NPI 1578841599

Midwest Care Granville Villa LLC

Organisation Assisted Living Facility La Vista, NE

Practice location

Address: 8507 Granville Pkwy, La Vista, NE 68128-3212
Phone: (402) 933-6405

Authorised official

Name: Jonathan Matthew Ohlsen-Johnson
Title: General Counsel
Phone: (541) 543-1215

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 305S00000X (NE)

Other Assisted Living Facility providers in Nebraska →

Registry record

NPI: 1578841599
Entity type: Organization
NPI issued: 25 Jul 2011
Record last updated: 25 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.