Organization
EAGLE QUEST OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY TIPPETTS (CEO)
(702) 375-1488
Entity
Organization
Contact information
Practice address
7381 PRAIRIE FALCON RD, SUITE 110, LAS VEGAS, NV 89128-0811
(702) 646-5437
Mailing address
7381 PRAIRIE FALCON RD, LAS VEGAS, NV 89128-0811
(702) 646-5437
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1403407527
NV
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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