Organization
CARSON VALLEY SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL FISHER (MANAGER)
(775) 434-1847
Entity
Organization
Contact information
Practice address
1189 KIMMERLING RD, GARDNERVILLE, NV 89460-7580
(775) 737-1847
(775) 562-4757
Mailing address
1189 KIMMERLING RD, GARDNERVILLE, NV 89460-7580
(775) 265-1400
(775) 265-9152
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
API-9005034721
—
NV
Enumeration date
04/18/2019
Last updated
04/18/2019
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