Organization
SOUTHERN NEVADA HOUSE OF HOPE MINISTRIES INC.
Active
Other names
Southern Nevada House Of Hope Transitional Group Home services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY LORENZO EVANS (BUSINESS DIRECTOR)
(702) 399-1944
Entity
Organization
Contact information
Practice address
5221 RED GLORY DR, LAS VEGAS, NV 89130-5389
(702) 399-1944
(702) 399-1944
Mailing address
5221 RED GLORY DR, LAS VEGAS, NV 89130-5389
(702) 399-1944
(702) 399-1944
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
C20120920-0754
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C20120920-0754
CORPORATE CHARTER
NV
Enumeration date
10/03/2012
Last updated
10/03/2012
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