Organization · Type 2 NPI

NV ST DV MH DS So NV MR SVCS

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Las Vegas, NV

NPI number 1760544969 Active

Practice location

1391 S Jones Blvd
Las Vegas, NV 89146-1200

Call (702) 486-6200 Map

Fax (702) 486-6368

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X698IMR-16 (NV)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1760544969

NV ST DV MH DS So NV MR SVCS's National Provider Identifier is 1760544969, issued on Dec 14, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 3, 2021.