Organization
GSEVENLLC
Active
Other names
Dorothy Graham's Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN GIPSON (RN MANAGER /OWNER)
(702) 576-5235
Entity
Organization
Contact information
Practice address
3180 ROWLAND ST, LAS VEGAS, NV 89108-4231
(702) 207-3502
(702) 745-1957
Mailing address
1812 JAKE ANDREW AVE, NORTH LAS VEGAS, NV 89086-1370
(702) 576-5235
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10560-AGC-0
HCQC NEVADA DEPT OF HEALTH
NV
Enumeration date
12/27/2021
Last updated
12/29/2021
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