| NPI | 1740842582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAILA BUENVIAJE Administrator 775-432-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |