Organization · NPI-2

1 Love Wellness Society LLC

Community/Behavioral Health · Las Vegas, NV

NPI number1235677477
StatusActive
Last updated in NPPESSep 3, 2021

Details

NPI
1235677477
Entity type
Organization (NPI-2)
Legal business name
1 Love Wellness Society LLC
Organization subpart
No
Enumeration date
Feb 8, 2017
Certification date
Sep 3, 2021
Last updated
Sep 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthNV20161704135NVYes
320800000X Community Based Residential Treatment Facility, Mental IllnessNV20161704135NV

Practice location

5940 S Rainbow Blvd Ste 213
Rm 1014
Las Vegas, NV 89118-2506

Phone 562-714-2146

Mailing address

5940 S Rainbow Blvd Ste 213
Rm 1014
Las Vegas, NV 89118-2506

Phone 562-714-2146

Other practice locations

6719 Sugarbird Ct
North Las Vegas, NV 89084-2227

Phone 562-714-2146

Authorized official

Denise Madison
Owner
5627142146

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