NPI 1336763903
360 Medhp LLC
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
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.