Organization
360 HABILITATION LLC
Active
Other names
360 Habilitation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEONTA DELSHAWN SCRUGGS (OWNER/CEO)
(702) 403-3089
Entity
Organization
Contact information
Practice address
6605 GRAND MONTECITO PKWY STE 100, LAS VEGAS, NV 89149-0210
(702) 403-3089
Mailing address
6605 GRAND MONTECITO PKWY STE 100, LAS VEGAS, NV 89149-0210
(702) 403-3089
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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