Organization
VISTA ADULT CARE, INC.
Active
Other names
VISTA ADULT CARE III
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVANGELINE CASUPANAN MOLINO (ADMINISTRATOR)
(775) 338-3886
Entity
Organization
Contact information
Practice address
7300 PAH RAH DR, SPARKS, NV 89436-9081
(775) 338-3886
(775) 360-6000
Mailing address
7300 PAH RAH DR, SPARKS, NV 89436-9081
(775) 338-3886
(775) 360-6000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
7429AGC-2
NV
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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