Whalio Doctors

NPI 1356797955

Good Old Days Home Care LLC

Organisation Adult Care Home Facility Sparks, NV

Practice location

Address
1255 Loma Verde CT, Sparks, NV 89436-0832
Phone
(775) 315-9503
Mailing address
2255 Wide Horizon Dr, Reno, NV 89509-5078

Authorised official

Name
Dietmar Ingensiep
Title
Administrator
Phone
(775) 315-9503

Registered specialties

Adult Care Home Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 7675AGC-3 (NV)

Registry record

NPI
1356797955
Entity type
Organization
NPI issued
12 May 2016
Record last updated
12 May 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.