Organization
TGLR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEANANN S LICCARDI (OWNER)
(904) 716-4095
Entity
Organization
Contact information
Practice address
2300 ALMOND CREEK DR, RENO, NV 89523-3213
(904) 716-4095
Mailing address
2558 MAYFLOWER WAY, CARSON CITY, NV 89706-1213
(904) 716-4095
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
11/22/2024
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