Organization
JABEL'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHI AVAMPATO (OWNER)
(778) 378-4901
Entity
Organization
Contact information
Practice address
11805 OVERLAND RD, RENO, NV 89506-8392
(775) 378-4901
Mailing address
11805 OVERLAND RD, RENO, NV 89506-8392
(775) 378-4901
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005049893
—
NV
Enumeration date
03/02/2016
Last updated
03/02/2016
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