| NPI | 1952757601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIETMAR INGENSIEP Administrator 775-315-9503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 8101AGC-2) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |