Organization
LIFE CHANGES REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER WILLIS (OWNER)
(775) 388-4001
Entity
Organization
Contact information
Practice address
550 E 4TH ST, RENO, NV 89512-3316
(775) 338-4001
Mailing address
550 E 4TH ST, RENO, NV 89512-3316
(775) 338-4001
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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