Organization
FAE OF FERNLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J GRAHAM (PRESIDENT)
(702) 203-5720
Entity
Organization
Contact information
Practice address
415 US HIGHWAY 95A S, SUITE D-401, FERNLEY, NV 89408-9007
(775) 575-2320
Mailing address
800 N RAINBOW BLVD, SUITE 208, LAS VEGAS, NV 89107-1189
(702) 643-4443
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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