NPI 1215305818

Levada House LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Reno, NV

Practice location

Address: 3905 Clear Acre Ln APT 27, Reno, NV 89512-1283
Phone: (775) 357-2623
Mailing address: 550 N McCarran Blvd Box 204, Sparks, NV 89431-5278

Authorised official

Name: Ariell Olivia Dix
Title: Ceo
Phone: (775) 357-2623

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence NV20151522395 (NV)

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Registry record

NPI: 1215305818
Entity type: Organization
NPI issued: 13 Sep 2015
Record last updated: 13 Sep 2015

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.