Organization
OPPORTUNITY VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB BROWN (PRESIDENT)
(702) 839-4784
Entity
Organization
Contact information
Practice address
6050 S BUFFALO DR, LAS VEGAS, NV 89113-2154
(702) 262-1550
Mailing address
6050 S BUFFALO DR, LAS VEGAS, NV 89113-2154
(702) 262-1550
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
NV199110030316
NV
Other
Enumeration date
03/30/2016
Last updated
03/15/2023
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