Organization
SPECTRUM HOUSE LLC
Active
Organization
SPECTRUM HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED A KAMARA (MANAGER)
(702) 523-9373
Entity
Organization
Contact information
Practice address
6396 MCLEOD DR STE 9, LAS VEGAS, NV 89120-4429
(702) 523-9373
Mailing address
6396 MCLEOD DR STE 9, LAS VEGAS, NV 89120-4429
(702) 523-9373
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2019
Last updated
10/01/2019
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