Journey Aba Nevada LLC
Clinic/Center in Henderson, NV. Organization (NPI-2).
NPI number1487315966
StatusActive
Last updated in NPPESJan 6, 2022
Details
- NPI
- 1487315966
- Entity type
- Organization (NPI-2)
- Legal business name
- Journey Aba Nevada LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2022
- Certification date
- Jan 6, 2022
- Last updated
- Jan 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 261QX0100X | Clinic/Center, Occupational Medicine | – | – |
Other names
- Happy Aba (Other Name)
Practice location
871 Coronado Center Dr Ste 200Henderson, NV 89052-3977
Phone 817-966-2764
Mailing address
10019 Reisterstown Rd Fl 3Owings Mills, MD 21117-3902
Phone 817-966-2764
Authorized official
Terri Edwards
Vp Revenue Strategy
8179662764
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