Organization
MODERN KINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAAL MOSI ROUZAN (OWNER)
(702) 327-6869
Entity
Organization
Contact information
Practice address
2605 CONGRESS AVE, LAS VEGAS, NV 89121-1315
(702) 327-6869
Mailing address
6443 LAKE SCENE ST, LAS VEGAS, NV 89148-6717
(702) 327-6869
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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