# SHORT TERM HOUSE 1 OF NV LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1316608797
- **Authorized official:** MAIMOUNA R CANTRALL (OWNER)
- **Authorized official phone:** (702) 208-2194

## Contact information

- **Practice address:** 4417 ISABELLA AVE, LAS VEGAS, NV 89110-4664
- **Practice address phone:** (702) 205-8968
- **Mailing address:** 1600 E DESERT INN RD STE 104, LAS VEGAS, NV 89169-2505
- **Mailing address phone:** (702) 208-2194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2022
- **Last updated:** 01/06/2022