NPI 1942385133

State of Nevada - Dv Mh/Ds Sierra Dev Center

Organisation Intellectual Disabilities Intermediate Care Facility Sparks, NV

Practice location

Address: 605 S 21st St, Sparks, NV 89431-8100
Phone: (775) 688-1930
Fax: (775) 688-1950

Authorised official

Name: Jane Gruner
Title: Acting Director
Phone: (775) 688-1930

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 708IMR-14 (NV)

Other Intermediate Care Facility, Intellectual Disabilities providers in Nevada →

Registry record

NPI: 1942385133
Entity type: Organization
NPI issued: 26 Oct 2006
Record last updated: 19 Jun 2008

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.