| Smart Start Independent Living Llc | |
|
1550 W Horizon Ridge Pkwy # R579 Henderson NV 89012-3600 | |
| (760) 596-5999 | |
| Not Available |
| Full Name | Smart Start Independent Living Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1550 W Horizon Ridge Pkwy # R579, Henderson, Nevada |
| Authorized Official Name and Position | Donna Mccall Myles (OWNER/MANAGER) |
| Authorized Official Contact | 7605965999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Start Independent Living Llc 1550 W Horizon Ridge Pkwy # R579 Henderson NV 89012-3600 Ph: (760) 596-5999 | Smart Start Independent Living Llc 1550 W Horizon Ridge Pkwy # R579 Henderson NV 89012-3600 Ph: (760) 596-5999 |
| NPI Number | 1902485113 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902485113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 177F00000X | Lodging | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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