Olive Crest | |
4285 N Rancho Dr Ste 160 Las Vegas NV 89130-3456 | |
(702) 685-3459 | |
(702) 851-8528 |
Full Name | Olive Crest |
---|---|
Speciality | Community/behavioral Health |
Location | 4285 N Rancho Dr Ste 160, Las Vegas, Nevada |
Authorized Official Name and Position | Donald A. Verleur (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7145435437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Olive Crest 2130 E 4th St Ste 200 Santa Ana CA 92705-3818 Ph: (714) 543-5437 | Olive Crest 4285 N Rancho Dr Ste 160 Las Vegas NV 89130-3456 Ph: (702) 685-3459 |
NPI Number | 1396950374 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 04/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396950374 | NPI | - | NPPES |
100508326 | Medicaid | NV | |
100508325 | Medicaid | NV | |
100508320 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Nevada) | Primary |
253J00000X | Foster Care Agency | (Nevada) | Secondary |
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