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Organization
VISTA ADULT CARE, INC.
Active
Organization
VISTA ADULT CARE, INC.
Active
Other names
VISTA ADULT CARE III
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVANGELINE CASUPANAN MOLINO (ADMINISTRATOR)
(775) 338-3886
Entity
Organization
Contact information
Practice address
7300 PAH RAH DR, SPARKS, NV 89436-9081
(775) 338-3886
(775) 360-6000
Mailing address
7300 PAH RAH DR, SPARKS, NV 89436-9081
(775) 338-3886
(775) 360-6000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
7429AGC-2
NV
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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