| NPI | 1528833829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENITA CARREON Administrator/Owner 775-747-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |