Organization
HUMBOLDT HUMAN DEVELOPMENT SVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SWENSEN (CEO)
(916) 751-9280
Entity
Organization
Contact information
Practice address
307 E 4TH ST, WINNEMUCCA, NV 89445-2823
(775) 625-3939
Mailing address
PO BOX 131, WINNEMUCCA, NV 89446-0131
(775) 625-3939
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005038433
—
NV
Enumeration date
02/25/2016
Last updated
06/19/2020
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