Organization
BAMBOO SUNRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY HOLDEMAN (CEO/OWNER)
(702) 433-3038
Entity
Organization
Contact information
Practice address
6171 W CHARLESTON BLVD BLDG 11, LAS VEGAS, NV 89146-1126
(702) 433-3038
Mailing address
98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
(702) 433-3038
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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