NPI 1508296104
Gateway Lv LLC
Practice location
- Address
- 37 W Owens Ave, North Las Vegas, NV 89030-6865
- Phone
- (702) 279-1298
Authorised official
- Name
- Jeffrey B Iverson
- Title
- Ceo
- Phone
- (702) 279-1298
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1508296104
- Entity type
- Organization
- NPI issued
- 18 Nov 2013
- Record last updated
- 18 Nov 2013
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.