Whalio Doctors

NPI 1154696722

Doves

Organisation Case Management Agency North Las Vegas, NV

Practice location

Address
3053 W Craig Rd, North Las Vegas, NV 89032-5124
Phone
(702) 808-1261
Mailing address
3717 King Charles St, North Las Vegas, NV 89030-4422

Authorised official

Name
Andrionna Williams
Title
Director
Phone
(702) 808-1261

Registered specialties (3)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X

Registry record

NPI
1154696722
Entity type
Organization
NPI issued
15 Mar 2012
Record last updated
15 Mar 2012

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.