Organization
BLUECOVE HOMES LLC
Active
Organization
BLUECOVE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY SUZANNE PAYNE CADC (FOUNDER/OWNER)
(702) 834-4307
Entity
Organization
Contact information
Practice address
9535 SCOTTVILLE CT, LAS VEGAS, NV 89148-4621
(702) 834-4307
(702) 485-4437
Mailing address
9535 SCOTTVILLE CT, LAS VEGAS, NV 89148-4621
(702) 834-4307
(702) 485-4437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20140769237-41
NV
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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