Everton's Place Ii, Inc | |
1333 N Buffalo Dr Unit 250 Las Vegas NV 89128-3637 | |
(702) 507-0373 | |
Not Available |
Full Name | Everton's Place Ii, Inc |
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Speciality | Community/behavioral Health |
Location | 1333 N Buffalo Dr Unit 250, Las Vegas, Nevada |
Authorized Official Name and Position | Terrell Drake (TREASURER) |
Authorized Official Contact | 7026222679 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Everton's Place Ii, Inc 10166 Skye Saddle Ave Las Vegas NV 89166-6597 Ph: (702) 622-2679 | Everton's Place Ii, Inc 1333 N Buffalo Dr Unit 250 Las Vegas NV 89128-3637 Ph: (702) 507-0373 |
NPI Number | 1205588233 |
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Provider Enumeration Date | 01/20/2022 |
Last Update Date | 01/20/2022 |
Certification Date | 01/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205588233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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