Organization
STARLIGHT GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNESTO DOMINGO BELTEJAR JR. ADMINISTRATOR (MANAGER)
(775) 762-2162
Entity
Organization
Contact information
Practice address
2301 E 9TH ST, RENO, NV 89512-3201
(775) 762-2162
Mailing address
2301 E 9TH ST, RENO, NV 89512-3201
(775) 762-2162
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/07/2018
Last updated
10/07/2018
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