Organization
EVERLASTING SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELOISA CALDERON ORTEGA (OWNER/MANAGER)
(775) 301-6299
Entity
Organization
Contact information
Practice address
2117 CALIFORNIA ST, 2109 CALIFORNIA STREET, CARSON CITY, NV 89701-5328
(775) 301-6299
(775) 301-6299
Mailing address
2117 CALIFORNIA ST, 2109 CALIFORNIA STREET, CARSON CITY, NV 89701-5328
(775) 301-6299
(775) 301-6299
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
8615-AGC-0
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8615-AGC-0
—
NV
Enumeration date
10/06/2016
Last updated
10/06/2016
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