| NPI | 1326513250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO DOMINGO BELTEJAR Manager 775-762-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-10-07 |
| Last Update Date | 2018-10-07 |