Healthcare Provider Details

I. General information

NPI: 1841511938
Provider Name (Legal Business Name): MORE TO LIFE ADULT DAY HEALTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2010
Last Update Date: 04/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1963 E PRATER WAY SUITE 103
SPARKS NV
89434-8938
US

IV. Provider business mailing address

1963 E PRATER WAY SUITE 103
SPARKS NV
89434-8938
US

V. Phone/Fax

Practice location:
  • Phone: 775-358-1988
  • Fax: 775-358-1588
Mailing address:
  • Phone: 775-358-1988
  • Fax: 775-358-1588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number5907 ADC-0
License Number StateNV

VIII. Authorized Official

Name: MR. JEFF B DOLD
Title or Position: DIRECTOR
Credential:
Phone: 775-358-1988