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Organization
HEART OF GWENDOLYN
Active
Organization
HEART OF GWENDOLYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYLAUNIE SEALS (OWNER)
(702) 428-4294
Entity
Organization
Contact information
Practice address
1881 W ALEXANDER RD UNIT 2088, NORTH LAS VEGAS, NV 89032-9049
(702) 428-4294
Mailing address
1881 W ALEXANDER RD UNIT 2088, NORTH LAS VEGAS, NV 89032-9049
(702) 428-4294
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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