Organization
LV ELITE CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENESA L HINES (CONTRACTED)
(210) 683-9747
Entity
Organization
Contact information
Practice address
7951 W CHARELSTON BLVD, #30, LAS VEGAS, NV 89117
(702) 238-5949
Mailing address
7951 W CHARELSTON BLVD, #30, LAS VEGAS, NV 89117
(702) 238-5949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181100355
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV0001
—
NV
Enumeration date
02/09/2018
Last updated
02/09/2018
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