Levada House LLC

NPI #1215305818 in Reno, Nevada

Provider Information

NPI Number: 1215305818
Entity Type: Organization
Organization Name: Levada House LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Sep 13, 2015
Last Updated: Sep 13, 2015

Practice Location

Address: 3905 CLEAR ACRE LN APT 27
City: Reno
State: Nevada
ZIP Code: 89512-1283
Phone: (775) 357-2623

Authorized Official

Name: ARIELL OLIVIA DIX
Title: CEO
Phone: (775) 357-2623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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