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Organization
CHARLESTON RESIDENTIAL SERVICES LLC
Active
Organization
CHARLESTON RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY IVERSON (PRESIDENT)
(702) 357-8811
Entity
Organization
Contact information
Practice address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
(702) 382-7746
Mailing address
840 S RANCHO DR # 4-613, LAS VEGAS, NV 89106-3837
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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