Organization
LMS FRESHSTART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES KENISHA WARD (OWNER)
(602) 639-3506
Entity
Organization
Contact information
Practice address
4660 S EASTERN AVE STE 200, LAS VEGAS, NV 89119-6139
(702) 478-8205
(702) 478-5266
Mailing address
187 RUIDOSO LN, HENDERSON, NV 89074
(602) 592-0503
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20171166360
NV
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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