NPI 1457617276

Heavenly Spirits

Organisation Developmentally Disabled Services Day Training Agency Henderson, NV

Practice location

Address: 1007 Paradise View St, Henderson, NV 89052-3937
Phone: (310) 503-5362
Mailing address: 4626 Arlington Ave, Los Angeles, CA 90043-1451

Authorised official

Name: Monica Rae Williams
Title: Director
Phone: (323) 292-4193

Registered specialties (2)

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 65267405 (CA)

Other Day Training, Developmentally Disabled Services providers in Nevada →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Registry record

NPI: 1457617276
Entity type: Organization
NPI issued: 5 Apr 2012
Record last updated: 5 Apr 2012

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.