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1730385709
GRANVILLE ASSISTED LIVING, LLC
LA VISTA, NE
NPI
1730385709
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Entity Type
Organization
Authorized Contact
JOHN HOLTZ
Controller
541-747-3373
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2007-06-26
Last Update Date
2008-05-13
Business Address
GRANVILLE ASSISTED LIVING, LLC
5807 GRANVILLE PARKWAY
LA VISTA, NE 68128
Phone number: 402-933-6405
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Mailing Address
GRANVILLE ASSISTED LIVING, LLC
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone number: 541-747-3373
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