| NPI | 1932080322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BARCELON Administrator 775-830-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |