| NPI | 1417371584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO TRINIDAD Managing Owner 775-830-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 5452AGC-6) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-11 |