Organization
NV ST DV MH DS DESERT DEV CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ASHCRAFT (ADMINISTRATIVE SERVICES OFFICER III)
(775) 687-0511
Entity
Organization
Contact information
Practice address
1391 S JONES BLVD, LAS VEGAS, NV 89146-1200
(702) 486-6200
Mailing address
1391 S JONES BLVD, LAS VEGAS, NV 89146-1200
(702) 486-6200
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
02/03/2021
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