Organization
KING DAVID GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN B JAUREGUI (STAFF)
(702) 266-7277
Entity
Organization
Contact information
Practice address
4130 MANFORD DR, LAS VEGAS, NV 89104-5404
(702) 728-7291
Mailing address
4130 MANFORD DR, LAS VEGAS, NV 89104-5404
(702) 728-7291
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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