Organization
LONGEVITY RESIDENTIAL CARE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMMY VALERA (ADMINISTRATOR)
(775) 843-9421
Entity
Organization
Contact information
Practice address
4073 KINGS ROW, RENO, NV 89503-6825
(775) 622-9982
(775) 622-9630
Mailing address
4073 KINGS ROW, RENO, NV 89503-6825
(775) 622-9982
(775) 622-9630
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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