Provider Demographics
NPI:1023277357
Name:MOTHER'S LOVE & CARE CENTER 2 LLC
Entity type:Organization
Organization Name:MOTHER'S LOVE & CARE CENTER 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IMELDA
Authorized Official - Middle Name:GUINA
Authorized Official - Last Name:MILLARE
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:775-828-5470
Mailing Address - Street 1:4130 GARLAN LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5438
Mailing Address - Country:US
Mailing Address - Phone:775-828-5470
Mailing Address - Fax:775-828-9816
Practice Address - Street 1:4130 GARLAN LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5438
Practice Address - Country:US
Practice Address - Phone:775-828-5470
Practice Address - Fax:775-828-9816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV308AGC-13310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility