Whalio Doctors

NPI 1336763903

360 Medhp LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Las Vegas, NV

Practice location

Address
2110 E Flamingo Rd STE 360, Las Vegas, NV 89119-5190
Phone
(702) 559-4751

Authorised official

Name
Mayzine Ayala
Title
Managing Member
Phone
(702) 980-9624

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1336763903
Entity type
Organization
NPI issued
29 May 2020
Record last updated
29 May 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.