# INNOVEST ELDERLY LIVING, LLC

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

## Provider details

- **NPI number:** 1679799894
- **Authorized official:** KEVIN M DEARING (OWNER)
- **Authorized official phone:** (916) 205-3311

## Contact information

- **Practice address:** 1949 W UINTA ST, EVANSTON, WY 82930-3229
- **Practice address phone:** (307) 444-4483
- **Mailing address:** 6108 ORCHARD HILL WAY, ELK GROVE, CA 95757-8313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | WY | — |
| 310400000X | Assisted Living Facility | 07-134 | WY | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 07/13/2007
