Organization
NV ST DV MH/DS NO NV MR SVCE
Active
Other names
OFFICE OF THE STATE CONTROLLER
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY STEPRO (ACCOUNTING ASSISTANT IV)
(775) 688-1930
Entity
Organization
Contact information
Practice address
605 S 21ST ST, SPARKS, NV 89431-8100
(775) 688-1930
Mailing address
605 S 21ST ST, SPARKS, NV 89431-8100
(775) 688-1930
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
PY0389
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005040587
—
NV
Enumeration date
03/18/2016
Last updated
03/18/2016
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