| NPI | 1750991899 |
|---|---|
| Doing Business As | RESIDENTIAL FACILITY FOR GROUPS |
| Entity Type | Organization |
| Authorized Contact | MYLENE LERON Facility Owner 775-762-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |