Organization
CARSON CITY SNF VENTURES LLC
Active
Other names
Carson Tahoe Transitional Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J VISLOCKY (EX VP OF FINANCE / PARTNER)
(360) 735-7155
Entity
Organization
Contact information
Practice address
1001 MOUNTAIN ST, CARSON CITY, NV 89703-3848
(360) 816-8283
Mailing address
7700 NE PARKWAY DR STE 300, VANCOUVER, WA 98662-6654
(360) 816-8283
(360) 816-8258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PENDING
NV
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
02/12/2018
Last updated
06/16/2018
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