Vista Adult Care
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sparks, NV. Organization (NPI-2).
NPI number1427432012
StatusActive
Last updated in NPPESJul 14, 2015
Details
- NPI
- 1427432012
- Entity type
- Organization (NPI-2)
- Legal business name
- Vista Adult Care
- Organization subpart
- No
- Enumeration date
- Jul 14, 2015
- Last updated
- Jul 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 4501AGC | NV | Yes |
Practice location
1079 Ricco DrSparks, NV 89434-6603
Phone 775-338-2320 · Fax 775-360-6000
Mailing address
1079 Ricco DrSparks, NV 89434-6603
Phone 775-338-2320 · Fax 775-360-6000
Authorized official
Leoncio Molino
Manager
7753382320
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