Individual provider · Type 1 NPI
Ria Desamito Carlisle
Adult Care Home Facility · Henderson, NV
NPI number
1174269385
Active
Practice location
1012 Paradise View St
Henderson, NV 89052-3937
Fax (702) 975-0772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 4847-AGC (NV) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2 other providers at this address
About NPI 1174269385
Ria Desamito Carlisle's National Provider Identifier is 1174269385, issued on May 10, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Henderson, NV. The record was last updated on May 10, 2022.