Organization
JONES SAFE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMYLAH MIMS (MANAGER)
(310) 461-5576
Entity
Organization
Contact information
Practice address
2017 LAWRY AVE, N LAS VEGAS, NV 89032-3527
(310) 461-5576
Mailing address
2017 LAWRY AVE, N LAS VEGAS, NV 89032-3527
(310) 461-5576
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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