Organization
OPPORTUNITY VILLAGE ASSOCIATION FOR RETARDED CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MATHEW BROWN (CHIEF EXECUTIVE OFFICER)
(702) 259-3707
Entity
Organization
Contact information
Practice address
6300 WEST OAKLEY, LAS VEGAS, NV 89146-1122
(702) 262-1572
(702) 259-3734
Mailing address
6050 SOUTH BUFFALO, LAS VEGAS, NV 89113-2154
(702) 259-3707
(702) 258-0652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9005036957
API
NV
Enumeration date
05/20/2014
Last updated
07/08/2021
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