| NPI | 1407201924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE COOPER Supported Living Arrangement Prov. 775-626-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NV NV20111404144) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2019-10-17 |