| NPI | 1851766851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA AGNES HALLMARK Administrator 775-742-7028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |