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Ms. Ria Desamito Carlisle
Adult Care Home Facility in Henderson, Nevada
NPI 1174269385

Ria Desamito Carlisle is an Adult Care Home Facility based in Henderson, NV and is specialized in Adult Care Home. Ria Desamito Carlisle practices in Henderson, NV. The NPI Number for Ria Desamito Carlisle is 1174269385 and holds a License No. 4847-AGC (Nevada).

The current practice location address for Ria Desamito Carlisle is 1012 Paradise View St, Henderson, NV and can be reached out via phone at 702-614-7079 and via fax at 702-975-0772.

Location: 1012 Paradise View St, Henderson, NV, 89052-3937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174269385
Provider Name
Ria Desamito Carlisle
Credential
Provider Entity Type
Individual
Gender
Female
Address
1012 Paradise View St, Henderson, NV, 89052-3937
Phone Number
702-614-7079
Fax Number
702-975-0772
Provider Enumeration Date
05/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1012 Paradise View St
City
Henderson
State
Nevada
Zip
89052-3937
Phone Number
702-614-7079
Fax Number
702-975-0772
person
Provider Business Mailing Address Details
Address
1012 Paradise View St
City
Henderson
State
Nevada
Zip
89052-3937
Phone Number
702-614-7079
Fax Number
702-975-0772
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
4847-AGC (Nevada)
Definition
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.
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