Organization
PROVIDENCE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELIA VALDEZ BUENDIA ADMINISTRATOR (FACILITY ADMINISTRATOR)
(775) 846-2270
Entity
Organization
Contact information
Practice address
5325 VISTA LARGA CIR, RENO, NV 89523-1815
(775) 787-1188
(775) 787-1188
Mailing address
1783 FAIRWAY HILLS TRL, RENO, NV 89523-6889
(775) 846-2270
(775) 746-0966
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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