Organization
TANCELL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIE NOVELO CELLONA (CEO)
(702) 476-0262
Entity
Organization
Contact information
Practice address
4000 S EASTERN AVE STE 150, LAS VEGAS, NV 89119-0840
(702) 476-0262
(702) 441-0466
Mailing address
1500 E TROPICANA AVE STE 248, LAS VEGAS, NV 89119-8325
(702) 882-4975
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
06/13/2019
Last updated
02/07/2023
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