Individual provider · Type 1 NPI
Cory Bruce Carlow
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · La Vista, NE
Practice location
7403 S 72nd Ave
La Vista, NE 68128-2624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in La Vista
About NPI 1982403580
Cory Bruce Carlow's National Provider Identifier is 1982403580, issued on Mar 7, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in La Vista, NE. The record was last updated on Mar 7, 2025.