Organization
BENEVOLENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA FEDOR (MANAGER)
(702) 930-9355
Entity
Organization
Contact information
Practice address
4760 S PECOS RD STE 104, LAS VEGAS, NV 89121-5828
(702) 930-9355
Mailing address
4760 S PECOS RD STE 104, LAS VEGAS, NV 89121-5828
(702) 930-9355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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