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General NPI Number Information
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NPI Number | 1093701856
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Entity Type | Organization
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Legal Business Name | DESERT HEALTH CARE FACILITIES, INC
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 550 N SHERMAN
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City | FALLON
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State | NV
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Zip | 89406
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Country | US
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Telephone | 775-423-7800
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Fax | 775-423-7845
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Provider Business Mailing Address
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Address Line | 550 N SHERMAN
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City | FALLON
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State | NV
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Zip | 89406
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Country | US
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Telephone | 775-423-7800
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Fax | 775-423-7845
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Authorized Official
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Title or Position | C.F.O.
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Name | MR. RONALD J WILSON
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Credential |
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Telephone | 309-343-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 4202SNF8
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 4202SNF-8
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License Number State | NV
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