Organization
OPEN WINGS LLC
Active
Organization
OPEN WINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLA A SNOWDON (MANAGER)
(702) 629-4834
Entity
Organization
Contact information
Practice address
5072 SUBLIGHT AVE, LAS VEGAS, NV 89108-4059
(702) 629-4834
Mailing address
5072 SUBLIGHT AVE, LAS VEGAS, NV 89108-4059
(702) 629-4834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295098788
—
NV
05
—
1336492701
—
NV
05
—
1457600645
—
NV
05
—
1669735247
—
NV
Enumeration date
05/29/2013
Last updated
05/29/2013
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