Organization
THE MANOR HOUSE
Active
Other names
Manor Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
SAVONTA MANOR (DIRECTOR)
(702) 286-7223
Entity
Organization
Contact information
Practice address
7142 WILDERNESS PACK CT, N LAS VEGAS, NV 89084-5214
(702) 286-7223
Mailing address
7142 WILDERNESS PACK CT, N LAS VEGAS, NV 89084-5214
(702) 286-7223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181048938
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV20181048938
—
NV
Enumeration date
01/22/2018
Last updated
06/16/2018
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