Organization
DANVILLE SERVICES OF NEVADA, LLC
Active
Other names
Danville Services Shelbourne
Organization subpart
No
Provider details
NPI number
Authorized official
MARK INOUYE (ADMINISTRATOR)
(702) 838-0222
Entity
Organization
Contact information
Practice address
115 E SHELBOURNE AVE, LAS VEGAS, NV 89123-2163
(702) 263-3224
Mailing address
9011 W SAHARA AVE, SUITE 150, LAS VEGAS, NV 89117-4800
(702) 838-0222
(702) 838-7026
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
29G020
NV
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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