NPI | 1023642873 |
---|---|
Doing Business As | DIAMOND RESIDENTIAL |
Entity Type | Organization |
Authorized Contact | PERLA SANTOS Owner 775-762-2162 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2020-03-01 |
Last Update Date | 2020-03-01 |