Organization
LA FAMILIA HOMES DBA SERENITY SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORK CLARK (OWNER)
(775) 825-1481
Entity
Organization
Contact information
Practice address
3645 RIO POCO RD, RENO, NV 89502-5349
(775) 825-1481
Mailing address
3645 RIO POCO RD, RENO, NV 89502-5349
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005056088
—
NV
Enumeration date
03/25/2019
Last updated
03/25/2019
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