Organization
OPHEILA F. JAVIER
Active
Other names
CJ Homes
Organization subpart
No
Provider details
NPI number
Authorized official
OPHELIA F JAVIER (OWNER)
(702) 305-3625
Entity
Organization
Contact information
Practice address
1627 GABRIEL DR, LAS VEGAS, NV 89119-6203
(702) 798-8246
Mailing address
1627 GABRIEL DR, LAS VEGAS, NV 89119-6203
(702) 798-8246
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005057367
—
NV
Enumeration date
03/14/2019
Last updated
03/14/2019
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