| Name | XING R. MAO |
|---|---|
| Address | 11963 FAIRFAX RIDGE ST. |
| City | LAS VEGAS |
| State | NV |
| Zip | 89183 |
| Mailing Address | 389 UPLAND BLVD |
| Mailing Address 2 | 389 UPLAND BLVD |
| Mailing City | LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89107 |
| Agent Type | Noncommercial Registered Agent |
| Company | IVY LONG TERM CARE, INC |
|---|---|
| Entity Number | E0438962009-5 |
| NV Business ID | NV20091409779 |