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NPI Code Detail

MEDICARE: BREA RENO, LLC

MEDICARE: BREA RENO, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311500000XAlzheimer Center (Dementia Center)1884AGZ-15NV
2310400000XAssisted Living Facility

General Provider Information

NPI Number : 1437363348
Entity Type Code : Organization
Provider Name (Legal Business Name) : BREA RENO, LLC
Provider Business Mailing Address
First Line : 3105 PLUMAS ST
Second Line :
City : RENO
State : NV
Zip : 89509-4515
Country : US
Telephone Number : 775-828-5000
Fax Number :
Provider Business Practice Location Address
First Line : 3105 PLUMAS ST
Second Line :
City : RENO
State : NV
Zip : 89509-4515
Country : US
Telephone Number : 775-828-5000
Fax Number : 775-828-5001
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : ANNA F.C. MUNOZ
Credential :
Telephone Number : 414-918-5443
Provider Enumeration Date : 05/09/2007
Last Update Date : 03/17/2025

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Directions to “BREA RENO, LLC ” Practice Location

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