Organization
DESERT INN RESIDENTIAL CARE
Active
Parent organization
DESERT INN RESIDENTIAL CARE
Other names
Desert Inn Residential Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESERT INN RESIDENTIAL CARE
Authorized official
JASMINE CASTILLO (ADMINISTRATOR)
(702) 203-3450
Entity
Organization
Contact information
Practice address
2845 BURNHAM AVE, LAS VEGAS, NV 89169-1793
(702) 203-3450
(702) 252-5092
Mailing address
7160 DARBY AVE, LAS VEGAS, NV 89117-3122
(702) 203-3450
(702) 252-5092
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
3119AGZ-13
NV
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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