Organization
SMART START INDEPENDENT LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MCCALL MYLES (OWNER/MANAGER)
(760) 596-5999
Entity
Organization
Contact information
Practice address
1550 W HORIZON RIDGE PKWY # R579, HENDERSON, NV 89012-3600
(760) 596-5999
Mailing address
1550 W HORIZON RIDGE PKWY # R579, HENDERSON, NV 89012-3600
(760) 596-5999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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