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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