Organization
EAGLE VALLEY CARE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFRODESIA LOPOZ (OWNER)
(925) 250-8923
Entity
Organization
Contact information
Practice address
1807 E LONG ST, CARSON CITY, NV 89706-3214
(775) 883-4449
Mailing address
1149 FAIR WEATHER CIR, CONCORD, CA 94518-1939
(925) 250-8923
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
07-00018613
NV
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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