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Organization
OPPORTUNITY VILLAGE ASSOCIATION FOR RETARDED CITIZENS
Active
Organization
OPPORTUNITY VILLAGE ASSOCIATION FOR RETARDED CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MATHEW BROWN (CHIEF EXECUTIVE OFFICER)
(702) 259-3707
Entity
Organization
Contact information
Practice address
6300 WEST OAKLEY, LAS VEGAS, NV 89146-1122
(702) 262-1572
(702) 259-3734
Mailing address
6050 SOUTH BUFFALO, LAS VEGAS, NV 89113-2154
(702) 259-3707
(702) 258-0652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9005036957
API
NV
Enumeration date
05/20/2014
Last updated
07/08/2021
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