| Brandi's House | |
|
5724 Red Roof St N Las Vegas NV 89081-2440 | |
| (702) 808-2650 | |
| Not Available |
| Full Name | Brandi's House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5724 Red Roof St, N Las Vegas, Nevada |
| Authorized Official Name and Position | Erica Payton (DIRECTOR) |
| Authorized Official Contact | 7028082650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi's House 5724 Red Roof St N Las Vegas NV 89081-2440 Ph: (702) 808-2650 | Brandi's House 5724 Red Roof St N Las Vegas NV 89081-2440 Ph: (702) 808-2650 |
| NPI Number | 1952806176 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952806176 | NPI | - | NPPES |
| NV20181223223 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20181223223 (Nevada) | Primary |
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