Organization
WAGONEER GROUP CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CLARETE FINK (OWNER ADMINISTRATOR)
(775) 825-6876
Entity
Organization
Contact information
Practice address
3705 WAGONEER DR, RENO, NV 89502-5917
(775) 409-5675
(775) 800-1836
Mailing address
3705 WAGONEER DR, RENO, NV 89502-5917
(775) 409-5675
(775) 800-1836
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9005046915
9005046915
NV
Enumeration date
08/19/2016
Last updated
08/19/2016
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