Everlasting Senior Care | |
2117 California St 2109 California Street Carson City NV 89701-5328 | |
(775) 301-6299 | |
(775) 301-6299 |
Full Name | Everlasting Senior Care |
---|---|
Speciality | Behavior Technician |
Location | 2117 California St, Carson City, Nevada |
Authorized Official Name and Position | Eloisa Calderon Ortega (OWNER/MANAGER) |
Authorized Official Contact | 7753016299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Everlasting Senior Care 2117 California St 2109 California Street Carson City NV 89701-5328 Ph: (775) 301-6299 | Everlasting Senior Care 2117 California St 2109 California Street Carson City NV 89701-5328 Ph: (775) 301-6299 |
NPI Number | 1902356603 |
---|---|
Provider Enumeration Date | 10/06/2016 |
Last Update Date | 10/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902356603 | NPI | - | NPPES |
8615-AGC-0 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106S00000X | Behavior Technician | 8615-AGC-0 (Nevada) | Primary |
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