Organization
EXTENDED LIFE LLC
Active
Organization
EXTENDED LIFE LLC
Active
Other names
Extended Life LLC, Extended Life Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE BROWN (MANAGER)
(702) 351-8288
Entity
Organization
Contact information
Practice address
2850 CEDAR AVE APT 171, LAS VEGAS, NV 89101-3871
(702) 351-8288
Mailing address
2850 CEDAR AVE APT 171, LAS VEGAS, NV 89101-3871
(702) 351-8288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
06/16/2018
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