NPI 1396831152

State of Nevada

Organisation Early Intervention Provider Agency Las Vegas, NV

Practice location

Address: 1161 S Valley View Blvd, Las Vegas, NV 89102-1854
Phone: (702) 486-7670

Authorised official

Name: Janelle Mulvenon
Title: Bureau Chief
Phone: (775) 684-3461

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Nevada →

Case Management Agency

Agencies Taxonomy 251B00000X

Other Case Management providers in Nevada →

Registry record

NPI: 1396831152
Entity type: Organization
NPI issued: 5 Oct 2006
Record last updated: 20 Jun 2008

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.