Organization
GRACE & MERCY HUMAN SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DEDEAUX (CEO)
(702) 489-4226
Entity
Organization
Contact information
Practice address
880 BLANKENSHIP AVE, LAS VEGAS, NV 89106-2230
(702) 489-4226
(702) 489-4226
Mailing address
880 BLANKENSHIP AVE, LAS VEGAS, NV 89106-2230
(702) 489-4226
(702) 489-4226
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
000000000
NV
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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