| NPI | 1336674985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI N JOHNSON Owner 775-450-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NV 7210AGC-3) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NV 7687AGC-5) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |