Organization
BUTLER HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP T PRENTISS (MANAGER)
(702) 343-1859
Entity
Organization
Contact information
Practice address
4125 N BUTLER ST, LAS VEGAS, NV 89129-4864
(702) 343-1859
Mailing address
4125 N BUTLER ST, LAS VEGAS, NV 89129-4864
(702) 343-1859
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20222560391
BUSINESS LICENSE
NV
Enumeration date
09/29/2022
Last updated
09/29/2022
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