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Organization

PROVIDENT PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE SMITH (OWNER)
(702) 561-3408
Entity
Organization

Contact information

Practice address
611 SENECA RIDGE AVE, N LAS VEGAS, NV 89084-1315
(702) 561-3408
Mailing address
611 SENECA RIDGE AVE, N LAS VEGAS, NV 89084-1315
(702) 561-3408

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform