NPI 1104974500

Mar von Senior Care

Organisation Adult Care Home Facility Reno, NV

Practice location

Address: 300 La Rue Ave, Reno, NV 89509-2014
Phone: (775) 323-4696
Fax: (775) 626-4605
Mailing address: 4816 Crestside Dr, Sparks, NV 89436-3667

Authorised official

Name: Theresa Cruz Basallo
Title: Administrator
Phone: (775) 323-4696

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 285AGC12 (NV)

Other Custodial Care Facility providers in Nevada →

Registry record

NPI: 1104974500
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 16 Feb 2016

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.