Ebonny Ventures INC
Clinic/Center, Primary Care in Las Vegas, NV. Organization (NPI-2).
NPI number1699225599
StatusActive
Last updated in NPPESOct 4, 2016
Details
- NPI
- 1699225599
- Entity type
- Organization (NPI-2)
- Legal business name
- Ebonny Ventures INC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2016
- Last updated
- Oct 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Nevada Treatment Center (Doing Business As)
Practice location
1721 E Charleston Blvd1721
Las Vegas, NV 89104-1902
Phone 702-515-9680
Mailing address
1721 E Charleston Blvd1721
Las Vegas, NV 89104-1902
Phone 702-515-9680
Authorized official
Valando Sterling
President
7025159680
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