Whalio Doctors

NPI 1104161355

Equal Housing Opportunity INC

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Henderson, NV

Practice location

Address
1264 Moon Vision St, Henderson, NV 89052-4007
Phone
(702) 491-1265
Fax
(702) 453-8874

Authorised official

Name
Connie Linnette Harris
Title
President
Phone
(702) 491-1265

Registered specialties (2)

Child Intellectual and/or Developmental Disabilities Respite Care Primary
Respite Care Facility Taxonomy 385HR2060X
Point of Service
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1104161355
Entity type
Organization
NPI issued
29 Nov 2012
Record last updated
20 Jun 2022

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.