| NPI | 1780251967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO DOMINGO BELTEJAR Administrator 775-762-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |