Organization
NV ST DV MH DS SO NV MR SVCS
Active
Other names
Desert Regional Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L. ASHCRAFT (ADMIN SERVICE OFFICER III)
(775) 687-0511
Entity
Organization
Contact information
Practice address
1391 S JONES BLVD, LAS VEGAS, NV 89146-1200
(702) 486-6200
(702) 486-6368
Mailing address
1391 S JONES BLVD, LAS VEGAS, NV 89146-1200
(702) 486-6200
(702) 486-6368
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
698IMR-16
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005402091
—
NV
Enumeration date
12/14/2006
Last updated
02/03/2021
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