Jeffrey Kupstas
Jeffrey Kupstas is a Skilled Nursing Facility in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2012
Practice location Address checks out
11850 Nicholas St Ste 100Omaha, NE 68154-4476
Phone: (877) 230-3885
Fax: (402) 292-8360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence TEI003179 (PA) |
|---|
Record details
| NPI number | 1184998619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2012 |
| Last updated in NPPES | March 1, 2012 |
| Mailing address | 442 Center Ave, Jim Thorpe, PA 18229-1210 |
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