Organization
GOODWILL VENTURES INC
Active
Other names
Rainbow Connections Group Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROSVI ALBEZA (SECRETARY)
(702) 358-9917
Entity
Organization
Contact information
Practice address
820 ANTIGUA ST, LAS VEGAS, NV 89145-6142
(702) 358-9917
Mailing address
6149 GLENBOROUGH ST, LAS VEGAS, NV 89115-6017
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5432-AGC-8
—
NV
Enumeration date
03/11/2019
Last updated
03/11/2019
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