Organization
CREATING EMPOWERMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA D DAVIS (PRESIDENT)
(702) 656-9890
Entity
Organization
Contact information
Practice address
4773 MADRID RIDGE CT, LAS VEGAS, NV 89129-3682
(702) 656-9890
(702) 656-9152
Mailing address
4773 MADRID RIDGE CT, LAS VEGAS, NV 89129-3682
(702) 656-9890
(702) 656-9152
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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