Organization
LIFECARE HOSPITALS OF NORTHERN NEVADA, INC
Active
Other names
Tahoe Pacific Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CRONIN CPA (VICE PRESIDENT OF REIMBURSEMENT)
(469) 241-2128
Entity
Organization
Contact information
Practice address
10101 DOUBLE R BLVD, RENO, NV 89521-5931
(775) 331-1044
(775) 326-6192
Mailing address
5340 LEGACY DR, SUITE 150, PLANO, TX 75024-3178
(469) 241-2100
(469) 241-5198
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
3878HOS-5
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501884
—
NV
Enumeration date
07/10/2006
Last updated
01/24/2014
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