Organization
ETERNITY OF LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIDAL D WHITE (OWNER)
(702) 808-3581
Entity
Organization
Contact information
Practice address
2400 N TENAYA WAY, LAS VEGAS, NV 89128
(702) 808-3581
Mailing address
2400 N TENAYA WAY, LAS VEGAS, NV 89128-0420
(702) 808-3581
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
05/29/2018
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