Organization
LEVADA HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIELL DIX (OWBER)
(702) 247-4535
Entity
Organization
Contact information
Practice address
3365 W CRAIG RD, STE # 9, NORTH LAS VEGAS, NV 89032-5112
(702) 247-4535
(702) 247-4535
Mailing address
5828 COLEMAN ST, N LAS VEGAS, NV 89031-3820
(928) 529-8197
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NV20151522395
NV
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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