Organization
NORTHERN NEVADA HUMAN SERVICES
Active
Other names
Sonoma Industries
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK LIZER IV (CFO)
(775) 625-7350
Entity
Organization
Contact information
Practice address
1203 E WMCA BLVD, WINNEMUCCA, NV 89445-2908
(775) 625-7350
Mailing address
PO BOX 106, WINNEMUCCA, NV 89446-0106
(775) 625-7350
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417317025
—
NV
Enumeration date
04/28/2021
Last updated
04/30/2021
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