Organization
RAY OF SUNSHINE ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE FRYE (PROPRIETOR)
(702) 233-1094
Entity
Organization
Contact information
Practice address
7720 W SAHARA AVE STE 104, LAS VEGAS, NV 89117-2754
(702) 233-1094
Mailing address
7720 W SAHARA AVE STE 104, LAS VEGAS, NV 89117-2754
(702) 233-1094
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619391331
—
NV
Enumeration date
05/09/2019
Last updated
05/09/2019
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