Angelic Health Treatment Center Llc | |
3950 S Eastern Ave Ste 100 Las Vegas NV 89119-5174 | |
(702) 738-2482 | |
Not Available |
Full Name | Angelic Health Treatment Center Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3950 S Eastern Ave Ste 100, Las Vegas, Nevada |
Authorized Official Name and Position | Crystal Romero (OWNER) |
Authorized Official Contact | 7027382482 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Angelic Health Treatment Center Llc 1233 Healing Waters Ln N Las Vegas NV 89031-1810 Ph: (702) 738-2482 | Angelic Health Treatment Center Llc 3950 S Eastern Ave Ste 100 Las Vegas NV 89119-5174 Ph: (702) 738-2482 |
NPI Number | 1417451154 |
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Provider Enumeration Date | 03/19/2018 |
Last Update Date | 03/19/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417451154 | NPI | - | NPPES |
B14820541 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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