Beautiful Life INC.
Day Training/Habilitation Specialist in Las Vegas, NV. Organization (NPI-2).
NPI number1164037008
StatusActive
Last updated in NPPESOct 4, 2021
Details
- NPI
- 1164037008
- Entity type
- Organization (NPI-2)
- Legal business name
- Beautiful Life INC.
- Organization subpart
- Yes
- Enumeration date
- Sep 8, 2020
- Certification date
- Oct 4, 2021
- Last updated
- Oct 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
1380 E Silverado Ranch BlvdLas Vegas, NV 89183-5924
Phone 702-453-8878 · Fax 702-491-1265
Mailing address
1380 E Silverado Ranch BlvdLas Vegas, NV 89183-5924
Phone 702-453-8878 · Fax 702-453-8878
Other practice locations
6252 Eugene Ave
Las Vegas, NV 89108-3311
Las Vegas, NV 89108-3311
Phone 702-453-8878
Authorized official
Connie L. Harris
Director
7024911265
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