Organization
TANNERWOOD HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY FAHNESTOCK (MANAGER)
(775) 771-2117
Entity
Organization
Contact information
Practice address
5505 TANNERWOOD DR, RENO, NV 89511-5021
(775) 771-2117
Mailing address
5505 TANNERWOOD DR, RENO, NV 89511-5021
(775) 771-2117
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005054802
—
NV
Enumeration date
02/26/2016
Last updated
02/26/2016
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