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Organization

LEVADA HOUSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARIELL OLIVIA DIX (CEO)
(775) 357-2623
Entity
Organization

Contact information

Practice address
3905 CLEAR ACRE LN APT 27, RENO, NV 89512-1283
(775) 357-2623
Mailing address
550 N MCCARRAN BLVD, BOX 204, SPARKS, NV 89431-5278
(775) 357-2623

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
NV20151522395
NV

Other

Enumeration date
09/13/2015
Last updated
09/13/2015
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