Organization
SIERRA SERENITY PROVIDERS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA CHRISTINE YOUNG (ADMINISTRATOR)
(775) 432-1035
Entity
Organization
Contact information
Practice address
515 E GAULT WAY, SPARKS, NV 89431-2482
(775) 432-1035
(775) 384-6685
Mailing address
515 E GAULT WAY, SPARKS, NV 89431-2482
(775) 432-1035
(775) 384-6685
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/21/2019
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