# PROVIDENCE HOME CARE

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

## Provider details

- **NPI number:** 1649834292
- **Authorized official:** MRS. NELIA VALDEZ BUENDIA ADMINISTRATOR (FACILITY ADMINISTRATOR)
- **Authorized official phone:** (775) 846-2270

## Contact information

- **Practice address:** 5325 VISTA LARGA CIR, RENO, NV 89523-1815
- **Practice address phone:** (775) 787-1188
- **Practice address fax:** (775) 787-1188
- **Mailing address:** 1783 FAIRWAY HILLS TRL, RENO, NV 89523-6889
- **Mailing address phone:** (775) 846-2270
- **Mailing address fax:** (775) 746-0966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 04/30/2019