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General NPI Number Information
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NPI Number | 1689146813
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Entity Type | Organization
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Legal Business Name | GOLDEN YEARS CASTLE PROPERTY HOLDINGS LLC
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 575 FARM DISTRICT RD
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City | FERNLEY
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State | NV
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Zip | 89408
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Country | US
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Telephone | 775-575-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 2060 ARCANE AVE
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City | RENO
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State | NV
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Zip | 89503-1405
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Country | US
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Telephone | 775-742-9978
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Fax | 775-747-7172
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOSE PAULO CASTILLO JR.
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Credential |
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Telephone | 775-240-9305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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