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Organization
EAGLE VALLEY CARE CENTRE, LLC
Active
Organization
EAGLE VALLEY CARE CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AFRODESIA CUBETA LOPOZ ADMINISTRATOR (MANAGER)
(925) 483-1096
Entity
Organization
Contact information
Practice address
1807 E LONG ST, CARSON CITY, NV 89706-3214
(925) 483-1096
(925) 955-9000
Mailing address
1149 FAIR WEATHER CIR, CONCORD, CA 94518-1939
(925) 483-1096
(925) 955-9000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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