Organization
BELLA VIDA BMHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENNYS BAUTISTA (ADMINSTATOR)
(702) 427-5307
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD STE 104A, LAS VEGAS, NV 89102-1506
(702) 427-5307
(702) 920-0475
Mailing address
4550 W OAKEY BLVD STE 104A, LAS VEGAS, NV 89102-1506
(702) 427-5307
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
12/17/2019
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