Provider Demographics
NPI:1861852485
Name:WASHOE ABILITY RESOURCE CENTER
Entity type:Organization
Organization Name:WASHOE ABILITY RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-829-7400
Mailing Address - Street 1:555 REACTOR WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4108
Mailing Address - Country:US
Mailing Address - Phone:775-829-7400
Mailing Address - Fax:775-829-7403
Practice Address - Street 1:555 REACTOR WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4108
Practice Address - Country:US
Practice Address - Phone:775-829-7400
Practice Address - Fax:775-829-7403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care