NPI 1023185469
State of Nevada
Practice location
- Address
- 6171 W Charleston Blvd Bldg. #7, Las Vegas, NV 89146-1126
- Phone
- (702) 486-0000
- Fax
- (702) 486-7759
- Mailing address
- 6171 W Charleston Blvd Bldg. #11, Las Vegas, NV 89146-1126
Authorised official
- Name
- Jeff Morrow
- Title
- Administrative Services Officer
- Phone
- (702) 486-6100
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1023185469
- Entity type
- Organization
- NPI issued
- 29 Nov 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.