# CARSON CITY SNF VENTURES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carson Tahoe Transitional Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801396247
- **Authorized official:** GREGORY J VISLOCKY (EX VP OF FINANCE / PARTNER)
- **Authorized official phone:** (360) 735-7155

## Contact information

- **Practice address:** 1001 MOUNTAIN ST, CARSON CITY, NV 89703-3848
- **Practice address phone:** (360) 816-8283
- **Mailing address:** 7700 NE PARKWAY DR STE 300, VANCOUVER, WA 98662-6654
- **Mailing address phone:** (360) 816-8283
- **Mailing address fax:** (360) 816-8258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | PENDING | NV | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 06/16/2018
