Organization
KIDEOLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CWIAK DPT (MANAGING MEMBER)
(702) 508-0908
Entity
Organization
Contact information
Practice address
5120 S EASTERN AVE, LAS VEGAS, NV 89119-2305
(702) 508-0908
(702) 508-9208
Mailing address
5120 S EASTERN AVE, LAS VEGAS, NV 89119-2305
(702) 508-0908
(702) 508-9208
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
NV20111674178
NV
Other
Enumeration date
11/17/2011
Last updated
11/26/2011
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