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Organization
START 2 DAY
Active
Organization
START 2 DAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYDAN RANDALL WOODS-WILSON (PRESIDENT/OWNER)
(702) 706-4969
Entity
Organization
Contact information
Practice address
2450 CHANDLER AVE, LAS VEGAS, NV 89120-4070
(702) 706-4969
Mailing address
5840 W CRAIG RD STE 120-253, LAS VEGAS, NV 89130-2561
(702) 706-4969
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
09/12/2026
Last updated
09/12/2026
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