| NPI | 1124175708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS ARZAGA BARBA Owner 775-747-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 2611AGC-10) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 2612AGC-10) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |