Organization
GRIP FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARONDA CONWAY (MANAGING MEMBER)
(702) 824-3629
Entity
Organization
Contact information
Practice address
6330 MCLEOD DR STE 3, LAS VEGAS, NV 89120-4431
(702) 754-3484
(702) 629-7952
Mailing address
6330 MCLEOD DR STE 3, LAS VEGAS, NV 89120-4431
(702) 824-3629
(702) 629-7952
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20171544329
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV20171544329
—
NV
Enumeration date
01/24/2018
Last updated
06/16/2018
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