Organization
AURTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY HAYWOOD (OWNER)
(702) 805-3536
Entity
Organization
Contact information
Practice address
609 W ADAMS AVE, LAS VEGAS, NV 89106-3322
(702) 612-8804
Mailing address
609 W ADAMS AVE, LAS VEGAS, NV 89106-3322
(702) 612-8804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
03/10/2020
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