Organization
ANGEL LITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA K CHRISTY (OWNER)
(702) 303-7334
Entity
Organization
Contact information
Practice address
8678 SPRING MOUNTAIN RD STE 101, LAS VEGAS, NV 89117-4103
(702) 303-7334
Mailing address
8678 SPRING MOUNTAIN RD STE 101, LAS VEGAS, NV 89117-4103
(702) 303-7334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NV
Enumeration date
09/20/2018
Last updated
09/20/2018
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