# LEVADA HOUSE LLC

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

## Provider details

- **NPI number:** 1215305818
- **Authorized official:** ARIELL OLIVIA DIX (CEO)
- **Authorized official phone:** (775) 357-2623

## Contact information

- **Practice address:** 3905 CLEAR ACRE LN APT 27, RENO, NV 89512-1283
- **Practice address phone:** (775) 357-2623
- **Mailing address:** 550 N MCCARRAN BLVD, BOX 204, SPARKS, NV 89431-5278
- **Mailing address phone:** (775) 357-2623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | NV20151522395 | NV | Yes |

## Other

- **Enumeration date:** 09/13/2015
- **Last updated:** 09/13/2015