NPI | 1104974500 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA CRUZ BASALLO Administrator 775-323-4696 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 285AGC12) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2016-02-16 |