JEFFREY KUPSTAS

OMAHA, NE
NPI1184998619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: PA  TEI003179)
Enumeration Date2012-03-01
Last Update Date2012-03-01
Business Address
-- JEFFREY KUPSTAS
11850 NICHOLAS ST STE 100
OMAHA, NE 68154-4476
Phone number: 877-230-3885
Mailing Address
-- JEFFREY KUPSTAS
442 CENTER AVE
JIM THORPE, PA 18229-1210
Phone number: