Organization
SUMMERDALE HOMES @ RIATA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE ROBLES GASATAYA (ADMINISTRATOR/OWNER)
(310) 855-4862
Entity
Organization
Contact information
Practice address
14315 RIATA CIR, RENO, NV 89521-5204
(775) 851-4185
(775) 851-4285
Mailing address
14315 RIATA CIR, RENO, NV 89521-5204
(775) 851-4185
(775) 851-4285
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NVN4241AGC
NV
Other
Enumeration date
06/08/2015
Last updated
06/10/2015
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