Organization
THE CITY OF LAS VEGAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVION JAWAAN PHILLIPS (PRNS WORKER/ ADAPTIVE RECREATION)
(702) 417-9540
Entity
Organization
Contact information
Practice address
6601 N BUFFALO DR, LAS VEGAS, NV 89131-4082
(702) 604-6869
Mailing address
8604 APIARY WIND ST, LAS VEGAS, NV 89131-2072
(702) 417-9540
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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