NPI 1366724700

Quality Independent Care

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

Practice location

Address: 6298 Mesosphere CT, Las Vegas, NV 89110-5043
Phone: (702) 400-3819
Mailing address: 2353 Moonlite Dr, Las Vegas, NV 89115-5305

Authorised official

Name: Jon Richard Watase
Title: Owner
Phone: (702) 400-3819

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Nevada →

Registry record

NPI: 1366724700
Entity type: Organization
NPI issued: 12 Sep 2011
Record last updated: 12 Sep 2011

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.