Organization
WILEY CARE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLNEL E WILEY JR. (DIRECTOR)
(775) 343-6882
Entity
Organization
Contact information
Practice address
6679 N LATOUR, SPARKS, NV 89436-9197
(775) 343-6882
(775) 384-9546
Mailing address
6679 N LATOUR, SPARKS, NV 89436-9197
(775) 343-6882
(775) 384-9546
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14
—
NV
05
—
82
—
NV
Enumeration date
12/10/2012
Last updated
12/10/2012
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