NPI 1477396356

Indigo Supportive Services LLC.

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

Practice location

Address: 930 S. 4th St, STE 209 #3446, Las Vegas, NV 89101
Phone: (313) 656-8824

Authorised official

Name: Claritta Waller
Title: Owner /Operator
Phone: (313) 656-8824

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1477396356
Entity type: Organization
NPI issued: 17 Jun 2024
Record last updated: 17 Jun 2024

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.