Provider Demographics
NPI:1104457183
Name:CESSA BELLA RESIDENTIAL SUITE LLC
Entity type:Organization
Organization Name:CESSA BELLA RESIDENTIAL SUITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-351-8470
Mailing Address - Street 1:2839 CEDAR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2864
Mailing Address - Country:US
Mailing Address - Phone:775-351-8470
Mailing Address - Fax:775-384-2992
Practice Address - Street 1:2839 CEDAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-2864
Practice Address - Country:US
Practice Address - Phone:775-351-8470
Practice Address - Fax:775-384-2992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty