Provider Demographics
NPI:1841511938
Name:MORE TO LIFE ADULT DAY HEALTH CENTER, LLC
Entity type:Organization
Organization Name:MORE TO LIFE ADULT DAY HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-358-1988
Mailing Address - Street 1:1963 E PRATER WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-8938
Mailing Address - Country:US
Mailing Address - Phone:775-358-1988
Mailing Address - Fax:775-358-1588
Practice Address - Street 1:1963 E PRATER WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-8938
Practice Address - Country:US
Practice Address - Phone:775-358-1988
Practice Address - Fax:775-358-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-13
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5907 ADC-0261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005056377Medicaid