Organization
TRAILWAYS RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG HANCOCK II (OWNER)
(702) 371-7970
Entity
Organization
Contact information
Practice address
4217 EL CONLON AVE, LAS VEGAS, NV 89102-0623
(702) 371-7970
Mailing address
4217 EL CONLON AVE, LAS VEGAS, NV 89102-0623
(702) 371-7970
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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