Cory Bruce Carlow
Cory Bruce Carlow is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in LA Vista, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
7403 S 72nd AveLA Vista, NE 68128-2624
Phone: (402) 515-4559
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1982403580 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2025 |
| Last updated in NPPES | March 7, 2025 |
| Certification date | March 7, 2025 |
| Mailing address | 7403 S 72nd Ave, La Vista, NE 68128-2624 |
Other providers in LA Vista
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Henriette Aidego
7403 Braun St, LA Vista, NE 68128-2791 · (402) 218-6231