| Eternity Of Love | |
|
2400 N Tenaya Way Las Vegas NV 89128 | |
| (702) 808-3581 | |
| Not Available |
| Full Name | Eternity Of Love |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2400 N Tenaya Way, Las Vegas, Nevada |
| Authorized Official Name and Position | Vidal D White (OWNER) |
| Authorized Official Contact | 7028083581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eternity Of Love 2400 N Tenaya Way Las Vegas NV 89128-0420 Ph: (702) 808-3581 | Eternity Of Love 2400 N Tenaya Way Las Vegas NV 89128 Ph: (702) 808-3581 |
| NPI Number | 1891297453 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891297453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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