Organization
PURE LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLONDRA WILLIAMS (OWNER)
(773) 701-3956
Entity
Organization
Contact information
Practice address
2513 BRAVE HEART AVE, NORTH LAS VEGAS, NV 89031-0685
(951) 667-5754
Mailing address
2513 BRAVE HEART AVE, NORTH LAS VEGAS, NV 89031-0685
(951) 667-5754
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181591545
NV
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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