| A Dream Deferred Llc | |
|
1633 Fontana Cliffs Ct North Las Vegas NV 89084-2028 | |
| (702) 336-0221 | |
| Not Available |
| Full Name | A Dream Deferred Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1633 Fontana Cliffs Ct, North Las Vegas, Nevada |
| Authorized Official Name and Position | Lashannon R Lewis (OWNER) |
| Authorized Official Contact | 7023360221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Dream Deferred Llc 4132 S Rainbow Blvd Ste 376 Las Vegas NV 89103-3106 Ph: () - | A Dream Deferred Llc 1633 Fontana Cliffs Ct North Las Vegas NV 89084-2028 Ph: (702) 336-0221 |
| NPI Number | 1255896031 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255896031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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