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Organization

SUPPORTED LIVING SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL FRIEDMAN QIDP (DIRECTOR)
(626) 848-5990
Entity
Organization

Contact information

Practice address
6320 MCLEOD DR STE 7, LAS VEGAS, NV 89120-4427
(626) 848-5990
Mailing address
7380 S EASTERN AVE STE 124, LAS VEGAS, NV 89123-1502
(626) 848-5990

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
07/15/2025
Last updated
07/15/2025
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