# LIFESHARE CARE HOME NEVADA

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

## Provider details

- **NPI number:** 1811353576
- **Authorized official:** BELINDA DEVANO (PRESIDENT/ADMINISTRATOR)
- **Authorized official phone:** (408) 854-0735

## Contact information

- **Practice address:** 7925 W ROSADA WAY, LAS VEGAS, NV 89149-5208
- **Practice address phone:** (702) 722-6783
- **Practice address fax:** (702) 998-0280
- **Mailing address:** 2795 GEORGE BLAUER PL, SAN JOSE, CA 95135-1281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 6087AGC-6 | NV | Yes |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 01/12/2016