Organization
1 LOVE WELLNESS SOCIETY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MADISON (OWNER)
(562) 714-2146
Entity
Organization
Contact information
Practice address
5940 S RAINBOW BLVD STE 213, RM 1014, LAS VEGAS, NV 89118-2506
(562) 714-2146
Mailing address
5940 S RAINBOW BLVD STE 213, RM 1014, LAS VEGAS, NV 89118-2506
(562) 714-2146
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20161704135
NV
320800000X
Mental Illness Community Based Residential Treatment Facility
NV20161704135
NV
Other
Enumeration date
02/08/2017
Last updated
09/03/2021
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