# FAE OF FERNLEY, INC.

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

## Provider details

- **NPI number:** 1912090721
- **Authorized official:** MRS. CAROL J GRAHAM (PRESIDENT)
- **Authorized official phone:** (702) 203-5720

## Contact information

- **Practice address:** 415 US HIGHWAY 95A S, SUITE D-401, FERNLEY, NV 89408-9007
- **Practice address phone:** (775) 575-2320
- **Mailing address:** 800 N RAINBOW BLVD, SUITE 208, LAS VEGAS, NV 89107-1189
- **Mailing address phone:** (702) 643-4443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020