Organization
DUNGARVIN NEVADA, LLC - LAS VEGAS
Active
Parent organization
DUNGARVIN GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUNGARVIN GROUP, INC.
Authorized official
LORI KRESS (CEO)
(651) 699-0206
Entity
Organization
Contact information
Practice address
3325 W CRAIG RD STE A, NORTH LAS VEGAS, NV 89032-5002
(702) 222-2243
(702) 222-0174
Mailing address
1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN 55120-1032
(651) 699-0206
(651) 699-0799
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005047616
—
NV
Enumeration date
03/24/2016
Last updated
04/27/2023
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