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Organization
GOODWILL VENTURES INC
Active
Organization
GOODWILL VENTURES INC
Active
Other names
Rainbow Connections Group Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROSVI ALBEZA (SECRETARY)
(702) 358-9917
Entity
Organization
Contact information
Practice address
820 ANTIGUA ST, LAS VEGAS, NV 89145-6142
(702) 358-9917
Mailing address
6149 GLENBOROUGH ST, LAS VEGAS, NV 89115-6017
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5432-AGC-8
—
NV
Enumeration date
03/11/2019
Last updated
03/11/2019
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