Quality Independent Care

NPI #1366724700 in Las Vegas, Nevada

Provider Information

NPI Number: 1366724700
Entity Type: Organization
Organization Name: Quality Independent Care
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 12, 2011
Last Updated: Sep 12, 2011

Practice Location

Address: 6298 MESOSPHERE CT
City: Las Vegas
State: Nevada
ZIP Code: 89110-5043
Phone: (702) 400-3819

Authorized Official

Name: MR. JON RICHARD WATASE
Title: OWNER
Phone: (702) 400-3819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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