Organization · Type 2 NPI

Moments N Memories Banquet Hall Llc.

Community/Behavioral Health Agency · Las Vegas, NV

NPI number 1548724099 Active

Practice location

921 W Owens Ave Ste 170
Las Vegas, NV 89106-5407

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1548724099
Entity type: Organization (Type 2)
Issued: Jan 29, 2019
Last updated: Mar 2, 2021
Status: Active

Other names

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Divine Care Family Services · doing business as
Divine Care Family Services · doing business as

Authorized official

Stacey Lee-Owens
Manager
(702) 689-0133

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548724099

Moments N Memories Banquet Hall Llc.'s National Provider Identifier is 1548724099, issued on Jan 29, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 2, 2021.