Organization
DIVINE CARE SERVICES OF NEVADA
Active
Other names
DIVINE CARE ORGANIZATION
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LEE (CEO)
(702) 689-0133
Entity
Organization
Contact information
Practice address
931 W OWENS AVE, STE. 150, LAS VEGAS, NV 89106-2543
(702) 542-0543
Mailing address
931 W OWENS AVE, STE. 150, LAS VEGAS, NV 89106-2543
(702) 542-0543
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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