# CARSON TAHOE MC HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sierra Basin Memory Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437991072
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 1001 MOUNTAIN ST, CARSON CITY, NV 89703-3848
- **Practice address phone:** (775) 443-4900
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 08/20/2024