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Cgl Group Corp

Assisted Living Facility, Assisted Living, Mental Illness in Las Vegas, NV. Organization (NPI-2).

NPI number1902175144
StatusActive
Last updated in NPPESDec 16, 2011

Details

NPI
1902175144
Entity type
Organization (NPI-2)
Legal business name
Cgl Group Corp
Organization subpart
No
Enumeration date
Dec 16, 2011
Last updated
Dec 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness––Yes

Practice location

1900 Eliminator Dr
Las Vegas, NV 89146-1136

Phone 702-823-3553 · Fax 702-823-3553

Mailing address

1900 Eliminator Dr
Las Vegas, NV 89146-1136

Phone 702-823-3553 · Fax 702-823-3553

Authorized official

Christian Castaneda
President
9174968000

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