Organization · Type 2 NPI
Granville Assisted Living, LLC
Point of Service · La Vista, NE
NPI number
1730385709
Active
Practice location
5807 Granville Parkway
La Vista, NE 68128
Fax (402) 505-9144
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: 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.
About NPI 1730385709
Granville Assisted Living, LLC's National Provider Identifier is 1730385709, issued on Jun 26, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in La Vista, NE. The record was last updated on May 13, 2008.