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Organization
GOOD OLD DAYS HOME CARE LLC
Active
Organization
GOOD OLD DAYS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIETMAR INGENSIEP (ADMINISTRATOR)
(775) 315-9503
Entity
Organization
Contact information
Practice address
1255 LOMA VERDE CT, SPARKS, NV 89436-0832
(775) 315-9503
Mailing address
2255 WIDE HORIZON DR, RENO, NV 89509-5078
(775) 315-9503
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
7675AGC-3
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7675AGC-3
LICENSE NUMBER
NV
Enumeration date
05/12/2016
Last updated
05/12/2016
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