Provider Demographics
NPI:1598313090
Name:NEIGHBOR NETWORK OF NORTHERN NEVADA
Entity Type:Organization
Organization Name:NEIGHBOR NETWORK OF NORTHERN NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWITT-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:775-453-4774
Mailing Address - Street 1:3730 PICCADILLY CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5624
Mailing Address - Country:US
Mailing Address - Phone:775-313-3210
Mailing Address - Fax:775-353-3588
Practice Address - Street 1:999 PYRAMID WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4471
Practice Address - Country:US
Practice Address - Phone:775-453-4774
Practice Address - Fax:775-353-3588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care