360 Medhp LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Las Vegas, NV. Organization (NPI-2).
NPI number1336763903
StatusActive
Last updated in NPPESMay 29, 2020
Details
- NPI
- 1336763903
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Medhp LLC
- Organization subpart
- No
- Enumeration date
- May 29, 2020
- Certification date
- May 29, 2020
- Last updated
- May 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
2110 E Flamingo Rd Ste 360Las Vegas, NV 89119-5190
Phone 702-559-4751
Mailing address
2110 E Flamingo Rd Ste 360Las Vegas, NV 89119-5190
Phone 702-559-4751
Authorized official
Mayzine Ayala
Managing Member
7029809624
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