NPI 1164825022

Spruce Oak Residential Care Facility

Organisation Assisted Living Facility (Mental Illness) North Las Vegas, NV

Practice location

Address: 4618 Spruce Oak Dr, North Las Vegas, NV 89031-0179
Phone: (702) 462-2031

Authorised official

Name: Melissa St Jean
Title: Manager
Phone: (702) 235-9644

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 5954AGC-10 (NV)

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Registry record

NPI: 1164825022
Entity type: Organization
NPI issued: 6 Oct 2014
Record last updated: 25 Nov 2014

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.