Organization
TANCELL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIE NOVELO TANDIONO-CELLONA B.S. (OWNER)
(702) 882-4975
Entity
Organization
Contact information
Practice address
400 STEWART AVE, LAS VEGAS, NV 89101-2913
(702) 476-0262
Mailing address
400 STEWART AVE, LAS VEGAS, NV 89101-2913
(702) 476-0262
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
NV
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NV
Other
Enumeration date
04/19/2018
Last updated
04/30/2026
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