NPI 1083167290
Charleston Residential Services LLC
Practice location
- Address
- 2121 W Charleston Blvd, Las Vegas, NV 89102-2205
- Phone
- (702) 382-7746
- Mailing address
- 840 S Rancho Dr # 4-613, Las Vegas, NV 89106-3837
Authorised official
- Name
- Jeffrey Iverson
- Title
- President
- Phone
- (702) 357-8811
Registered specialties (2)
Assisted Living Facility
Primary
Adult Care Home Facility
Registry record
- NPI
- 1083167290
- Entity type
- Organization
- NPI issued
- 25 Jul 2016
- Record last updated
- 25 Jul 2016
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.