| NPI | 1689102139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ALLEN NITCHALS Assistant Site Manager 775-419-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347B00000X Bus |
| Additional Taxonomies | 347B00000X Bus (Licence: NV xxxxx) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2022-07-21 |