Organization
MANILA ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICHU PIZAN NP (DIRECTOR)
(702) 331-5925
Entity
Organization
Contact information
Practice address
1330 KAREN AVE STE B, LAS VEGAS, NV 89169-1260
(702) 323-4020
Mailing address
8854 CARRADORI AVE, LAS VEGAS, NV 89148-4940
(702) 239-9235
(866) 782-8154
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568935567
—
NV
Enumeration date
01/02/2019
Last updated
05/26/2021
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