Organization
AMBIANCE PROVIDERS HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAHOM BERHE HAGOS (PSR)
(202) 642-7503
Entity
Organization
Contact information
Practice address
1298 HIGHGATE CT, SPARKS, NV 89434-0762
(775) 276-9979
(775) 205-6731
Mailing address
4050 GARDELLA AVE, APT # 522, RENO, NV 89512-1028
(775) 276-9979
(775) 205-6731
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NV20171076228
NV
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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