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Organization
VISTA ADULT CARE, INC.
Active
Organization
VISTA ADULT CARE, INC.
Active
Other names
Vista Adult Care at Waterfield
Organization subpart
No
Provider details
NPI number
Authorized official
LEONCIO MACAISA MOLINO AO (MANAGER)
(775) 338-2320
Entity
Organization
Contact information
Practice address
3056 WATERFIELD DR, SPARKS, NV 89434-1627
(775) 338-2320
(775) 360-6000
Mailing address
3056 WATERFIELD DR, SPARKS, NV 89434-1627
(775) 338-2320
(775) 360-6000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10342-AGC
—
NV
Enumeration date
05/27/2021
Last updated
05/27/2021
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