Organization
THI OF NEVADA AT CARSON LLC
Active
Other names
Carson Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER B RIECKHOFF (PRESIDENT)
(775) 882-3301
Entity
Organization
Contact information
Practice address
2898 US HIGHWAY 50 E, CARSON CITY, NV 89701-2811
(775) 882-3301
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
(410) 773-1321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1175SNF-12
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19-13842
—
NV
Enumeration date
06/01/2006
Last updated
09/04/2007
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