Organization
EAGLE VALLEY CARE CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AFRODESIA CUBETA LOPOZ ADMINISTRATOR (MANAGER)
(925) 483-1096
Entity
Organization
Contact information
Practice address
1807 E LONG ST, CARSON CITY, NV 89706-3214
(925) 483-1096
(925) 955-9000
Mailing address
1149 FAIR WEATHER CIR, CONCORD, CA 94518-1939
(925) 483-1096
(925) 955-9000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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