# GOOD OLD DAYS HOME CARE LLC

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

## Provider details

- **NPI number:** 1356797955
- **Authorized official:** MR. DIETMAR INGENSIEP (ADMINISTRATOR)
- **Authorized official phone:** (775) 315-9503

## Contact information

- **Practice address:** 1255 LOMA VERDE CT, SPARKS, NV 89436-0832
- **Practice address phone:** (775) 315-9503
- **Mailing address:** 2255 WIDE HORIZON DR, RENO, NV 89509-5078
- **Mailing address phone:** (775) 315-9503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 7675AGC-3 | NV | Yes |

## Other

- **Enumeration date:** 05/12/2016
- **Last updated:** 05/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7675AGC-3 | LICENSE NUMBER | NV |