# LONGEVITY RESIDENTIAL CARE II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114562667
- **Authorized official:** MR. SAMMY VALERA (ADMINISTRATOR)
- **Authorized official phone:** (775) 843-9421

## Contact information

- **Practice address:** 4073 KINGS ROW, RENO, NV 89503-6825
- **Practice address phone:** (775) 622-9982
- **Practice address fax:** (775) 622-9630
- **Mailing address:** 4073 KINGS ROW, RENO, NV 89503-6825
- **Mailing address phone:** (775) 622-9982
- **Mailing address fax:** (775) 622-9630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2019
- **Last updated:** 11/07/2019