Individual
MR. ROBERT W GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4980 S 118TH ST, OMAHA, NE 68137-2200
(531) 710-0104
Mailing address
2814 N 169TH ST, OMAHA, NE 68116-2689
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NE
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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