Healthcare Provider Details
I. General information
NPI: 1366507147
Provider Name (Legal Business Name): HORIZON HILLS RESIDENTIAL GROUP CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8115 MOHAWK LN
RENO NV
89506-9126
US
IV. Provider business mailing address
8115 MOHAWK LN
RENO NV
89506-9126
US
V. Phone/Fax
- Phone: 775-677-8115
- Fax: 775-677-4095
- Phone: 775-677-8115
- Fax: 775-677-4095
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | NV |
VIII. Authorized Official
Name: MR.
WARLITO
PIZARRO
Title or Position: ADMINISTRATOR
Credential:
Phone: 775-750-0006