| Evans Electrifying Enterprises, Inc. | |
|
5528 Green Willow St Las Vegas NV 89130-1646 | |
| (702) 655-4177 | |
| (702) 395-5247 |
| Full Name | Evans Electrifying Enterprises, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5528 Green Willow St, Las Vegas, Nevada |
| Authorized Official Name and Position | Bobbye Evans (FOUNDER/PRESIDENT/OWNER) |
| Authorized Official Contact | 7026554177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evans Electrifying Enterprises, Inc. 5528 Green Willow St Las Vegas NV 89130-1646 Ph: (702) 655-4177 | Evans Electrifying Enterprises, Inc. 5528 Green Willow St Las Vegas NV 89130-1646 Ph: (702) 655-4177 |
| NPI Number | 1255527537 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255527537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Nevada) | Primary |
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