Individual provider · Type 1 NPI

Jerissa Plummer

Physical Disabilities Residential Treatment Facility · North Las Vegas, NV

NPI number 1790149151 Active

Practice location

4956 Drifting Pebble St
North Las Vegas, NV 89081-3057

Call (608) 512-3251 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000XNone listed

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

10 other providers at this address

About NPI 1790149151

Jerissa Plummer's National Provider Identifier is 1790149151, issued on Apr 11, 2016. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in North Las Vegas, NV. The record was last updated on Apr 11, 2016.