Organization
GOOD OLD DAYS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIETMAR INGENSIEP (ADMINISTRATOR)
(775) 315-9503
Entity
Organization
Contact information
Practice address
1255 LOMA VERDE CT, SPARKS, NV 89436-0832
(775) 315-9503
Mailing address
2255 WIDE HORIZON DR, RENO, NV 89509-5078
(775) 315-9503
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
7675AGC-3
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7675AGC-3
LICENSE NUMBER
NV
Enumeration date
05/12/2016
Last updated
05/12/2016
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