Organization
A LIFE WELL LIVED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD OWEN CERVANTES (OWNER)
(702) 767-5396
Entity
Organization
Contact information
Practice address
2441 TECH CENTER CT, LAS VEGAS, NV 89128-0804
(702) 767-5396
Mailing address
10525 HAMDEM AVE, LAS VEGAS, NV 89129-6444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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