OrganizationActive
State of Nv Aging & Disability Sevices Division- Fe Waiver
NPI 1093289928 · PACE Provider Organization · Carson City, NV
Provider details
- NPI number
- 1093289928
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Anil Manocha, Administrative Services Officer(775) 687-2487
Specialties & taxonomies
Agencies
Practice location
3416 Goni Rd Bldg D
Carson City, NV 89706-8008
Phone: (775) 687-2487
Approximate (ZIP-level) locationGet directions
Mailing address
3416 Goni Rd Bldg D
Carson City, NV 89706-8008
Registry dates
- Enumerated
- 2019-01-14
- Last updated
- 2019-12-30
- Certified
- 2019-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.