# BUTLER HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073237384
- **Authorized official:** MR. PHILIP T PRENTISS (MANAGER)
- **Authorized official phone:** (702) 343-1859

## Contact information

- **Practice address:** 4125 N BUTLER ST, LAS VEGAS, NV 89129-4864
- **Practice address phone:** (702) 343-1859
- **Mailing address:** 4125 N BUTLER ST, LAS VEGAS, NV 89129-4864
- **Mailing address phone:** (702) 343-1859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2022
- **Last updated:** 09/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NV20222560391 | BUSINESS LICENSE | NV |