Organization
CKK RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK BENEDICT MAYANDIA (OWNER)
(702) 782-7265
Entity
Organization
Contact information
Practice address
3784 EDISON AVE, LAS VEGAS, NV 89121-3407
(702) 782-7265
Mailing address
3784 EDISON AVE, LAS VEGAS, NV 89121-3407
(702) 782-7265
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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