NPI 1093289928

State of Nv Aging & Disability Sevices Division- Fe Waiver

Organisation PACE Provider Organization Carson City, NV

Practice location

Address: 3416 Goni Rd Bldg D, Carson City, NV 89706-8008
Phone: (775) 687-2487

Authorised official

Name: Anil Manocha
Title: Administrative Services Officer
Phone: (775) 687-2487

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Nevada →

Registry record

NPI: 1093289928
Entity type: Organization
NPI issued: 14 Jan 2019
Record last updated: 30 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.