Provider Demographics
NPI:1366602740
Name:NEVADA PRIME COMMODITIES INC
Entity type:Organization
Organization Name:NEVADA PRIME COMMODITIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARSENIO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-825-7641
Mailing Address - Street 1:4511 WILLOW TREE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2058
Mailing Address - Country:US
Mailing Address - Phone:210-825-7641
Mailing Address - Fax:210-481-2074
Practice Address - Street 1:4511 WILLOW TREE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2058
Practice Address - Country:US
Practice Address - Phone:210-825-7641
Practice Address - Fax:210-481-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility