Organization
INNOVEST ELDERLY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M DEARING (OWNER)
(916) 205-3311
Entity
Organization
Contact information
Practice address
1949 W UINTA ST, EVANSTON, WY 82930-3229
(307) 444-4483
Mailing address
6108 ORCHARD HILL WAY, ELK GROVE, CA 95757-8313
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
WY
310400000X
Assisted Living Facility
Primary
07-134
WY
Other
Enumeration date
04/17/2007
Last updated
07/13/2007
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