Organization
DIVINE HEALING HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL J ALLEN (MANAGER)
(702) 205-7515
Entity
Organization
Contact information
Practice address
2608 WHITE OAK RD, NORTH LAS VEGAS, NV 89030-5341
(702) 351-8798
Mailing address
2608 WHITE OAK RD, NORTH LAS VEGAS, NV 89030-5341
(702) 351-8798
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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