Organization
MOJAVE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHARE EDWARDS REGISTERED NURSE (RN)
(310) 555-1212
Entity
Organization
Contact information
Practice address
4000 E CHARLESTON BLVD, STE 230, LAS VEGAS, NV 89104-6659
(702) 555-1212
Mailing address
4000 E CHARLESTON BLVD, HM # 617, LAS VEGAS, NV 89104-6659
(702) 555-1212
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RN67139
NV
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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