Organization
AACRES NV, LLC
Active
Parent organization
EMBASSY MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMBASSY MANAGEMENT, LLC
Authorized official
MICHELLE WILSON (BILLING MANAGER)
(509) 209-2777
Entity
Organization
Contact information
Practice address
4340 SOUTH VALLEY VIEW BLVD, STE 220, LAS VEGAS, NV 89103
(702) 227-4545
(702) 259-0545
Mailing address
5709 W SUNSET HWY, STE 100, SPOKANE, WA 99224
(509) 328-2740
(509) 789-3323
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
NV20081362263
NV
Other
Enumeration date
07/05/2013
Last updated
02/24/2016
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