Organization
OUR HOME ADULT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ALIX SAPICO OWNER (DIRECTOR)
(775) 843-7413
Entity
Organization
Contact information
Practice address
4180 SIERRA MADRE DR, RENO, NV 89502-6328
(775) 827-1619
(775) 827-8512
Mailing address
4180 SIERRA MADRE DR, RENO, NV 89502-6328
(775) 827-1619
(775) 827-8512
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005055577
—
NV
Enumeration date
03/15/2019
Last updated
03/15/2019
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