# LITTLE ANGEL CARE HOME , LLC

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

## Provider details

- **NPI number:** 1609087105
- **Authorized official:** MARILOU A REYES (OWNER)
- **Authorized official phone:** (775) 626-8103

## Contact information

- **Practice address:** 1436 HEAVEN DR, SPARKS, NV 89436-9307
- **Practice address phone:** (775) 626-8103
- **Practice address fax:** (775) 626-0464
- **Mailing address:** 1436 HEAVEN DR, SPARKS, NV 89436-9307
- **Mailing address phone:** (775) 626-8103
- **Mailing address fax:** (775) 626-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NV | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 08/22/2020