Organization
GOOD OLD DAYS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIETMAR INGENSIEP (ADMINISTRATOR)
(775) 315-9503
Entity
Organization
Contact information
Practice address
5855 LONE HORSE DR, RENO, NV 89502-9010
(775) 315-9503
Mailing address
2255 WIDE HORIZON DR, RENO, NV 89509-5078
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
8101AGC-2
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE NUMBER
8101AGC-2
NV
Enumeration date
05/12/2016
Last updated
05/12/2016
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