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Organization

ANGEL LITE, LLC

Active
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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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