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Organization
VISTA ADULT CARE
Active
Organization
VISTA ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONCIO MOLINO (MANAGER)
(775) 338-2320
Entity
Organization
Contact information
Practice address
1079 RICCO DR, SPARKS, NV 89434-6603
(775) 338-2320
(775) 360-6000
Mailing address
1079 RICCO DR, SPARKS, NV 89434-6603
(775) 338-2320
(775) 360-6000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
4501AGC
NV
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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