Organization
SIERRA VISTA SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROBERT FORSBERG (ADMINISTRATOR)
(775) 771-2525
Entity
Organization
Contact information
Practice address
210 S ORMSBY BLVD, CARSON CITY, NV 89703-4549
(775) 771-2525
Mailing address
210 S ORMSBY BLVD, CARSON CITY, NV 89703-4549
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NV
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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