Organization
INDEPENDENT LIVING CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J GRAHAM (PRESIDENT)
(702) 643-4443
Entity
Organization
Contact information
Practice address
210 GOLD CREEK DR, DAYTON, NV 89403-8405
(775) 297-3387
(702) 878-8761
Mailing address
800 N RAINBOW BLVD STE 208, LAS VEGAS, NV 89107-1193
(702) 643-4443
(702) 878-8761
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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