Vip Support Services | |
3925 Martin Luther King Blvd 208 North Las Vegas NV 89032 | |
(702) 504-3767 | |
Not Available |
Full Name | Vip Support Services |
---|---|
Speciality | Community/behavioral Health |
Location | 3925 Martin Luther King Blvd, North Las Vegas, Nevada |
Authorized Official Name and Position | Lorenthia Clayton (CEO) |
Authorized Official Contact | 7025043767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vip Support Services 3925 Martin Luther King Blvd 208 North Las Vegas NV 89032 Ph: (702) 504-3767 | Vip Support Services 3925 Martin Luther King Blvd 208 North Las Vegas NV 89032 Ph: (702) 504-3767 |
NPI Number | 1316468069 |
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Provider Enumeration Date | 07/03/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316468069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | NV20171419211 (Nevada) | Primary |
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