Organization
BAMBOO SUNRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY HOLDEMAN (CHIEF EXECUTIVE OFFICER)
(702) 433-3038
Entity
Organization
Contact information
Practice address
98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
(702) 433-3038
(702) 433-2210
Mailing address
98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
(702) 433-3038
(702) 433-2210
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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