NPI 1285024679

Vista Adult Care LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Sparks, NV

Practice location

Address: 3056 Waterfield Drive, Sparks, NV 89434-1627
Phone: (775) 338-2320
Fax: (775) 360-6000
Mailing address: 1079 Ricco Drive, Sparks, NV 89434-6603

Authorised official

Name: Leoncio Macaisa Molino
Title: Owner/Manager.
Phone: (775) 338-2320

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Nevada →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 5849AGC (NV)

Registry record

NPI: 1285024679
Entity type: Organization
NPI issued: 23 Jan 2015
Record last updated: 4 Jun 2021

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.