Healthy Lifestyle Residence, LLC

NPI #1780903872 in Reno, Nevada

Provider Information

NPI Number: 1780903872
Entity Type: Organization
Organization Name: Healthy Lifestyle Residence, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: May 27, 2010
Last Updated: May 27, 2010

Practice Location

Address: 3990 LAKESIDE DR
City: Reno
State: Nevada
ZIP Code: 89509-5336
Phone: (775) 828-5151

Authorized Official

Name: MS. FELICISIMA A. GRAHAM, RFA
Title: ADMINISTRATOR
Phone: (775) 828-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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