Organization
FORT PEACE
Active
Parent organization
ROSE OF SHARON
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSE OF SHARON
Authorized official
WILLIE J FRINK III BISHOP (CEO)
(702) 546-9431
Entity
Organization
Contact information
Practice address
7121 W CRAIG RD STE 113, UNIT 148, LAS VEGAS, NV 89129-6023
(702) 546-9431
Mailing address
7121 W CRAIG RD STE 113, UNIT 148, LAS VEGAS, NV 89129-6023
(702) 546-9431
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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