NPI 1770988941

Wc-Granville Villa Ops, LLC

Organisation Assisted Living Facility La Vista, NE

Practice location

Address: 8507 Granville Pkwy, La Vista, NE 68128-3212
Phone: (402) 933-6405
Fax: (402) 505-9144

Authorised official

Name: Collette Mieres
Title: Executive Director
Phone: (402) 933-6405

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1770988941
Entity type: Organization
NPI issued: 29 Oct 2014
Record last updated: 6 Feb 2015

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.