| NPI | 1225694730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONILA OLAZO BELTEJAR Owner/Manager 775-501-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |