Organization
AZURE GROUP HOME
Active
Other names
OUR KIDS HOME
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA YEKTA (PRESIDENT/MANAGER)
(702) 433-5368
Entity
Organization
Contact information
Practice address
4180 S PECOS RD STE 115, LAS VEGAS, NV 89121-5075
(702) 433-5368
(702) 434-2485
Mailing address
4180 S PECOS RD STE 115, LAS VEGAS, NV 89121-5075
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
98459865401
NV
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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