| Saint Rose Children And Family Services | |
|
2152 Jasper Bluff St Unit 105 Las Vegas NV 89117-5977 | |
| (702) 327-2829 | |
| Not Available |
| Full Name | Saint Rose Children And Family Services |
|---|---|
| Speciality | Foster Care Agency |
| Location | 2152 Jasper Bluff St Unit 105, Las Vegas, Nevada |
| Authorized Official Name and Position | Christine Michelle Formica (DIRECTOR) |
| Authorized Official Contact | 7023272829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Rose Children And Family Services 2152 Jasper Bluff St Unit 105 Las Vegas NV 89117-5977 Ph: (702) 327-2829 | Saint Rose Children And Family Services 2152 Jasper Bluff St Unit 105 Las Vegas NV 89117-5977 Ph: (702) 327-2829 |
| NPI Number | 1962717892 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962717892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5789-C (Nevada) | Secondary |
| 253J00000X | Foster Care Agency | 5789-C (Nevada) | Primary |
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