Organization
PACIFIC ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY LEE (PRESIDENT)
(702) 997-9600
Entity
Organization
Contact information
Practice address
2654 W HORIZON RIDGE PKWY # B5109, HENDERSON, NV 89052-2803
(702) 997-9600
Mailing address
2654 W HORIZON RIDGE PKWY # B5109, HENDERSON, NV 89052-2803
(702) 997-9600
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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