NPI | 1568845857 |
---|---|
Doing Business As | KINGS ROW RESIDENCE |
Entity Type | Organization |
Authorized Contact | MINMIN SONG Managing Member 775-688-9671 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
Enumeration Date | 2015-07-03 |
Last Update Date | 2015-07-03 |