State of Nevada

NPI #1396831152 in Las Vegas, Nevada

Provider Information

NPI Number
1396831152
Entity Type
Organization
Organization Name
State of Nevada
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Oct 5, 2006
Last Updated
Jun 20, 2008

Practice Location

Address
1161 S VALLEY VIEW BLVD
State
Nevada
ZIP Code
89102-1854
Phone
(702) 486-7670

Authorized Official

Name
MS. JANELLE MULVENON
Title
BUREAU CHIEF
Phone
(775) 684-3461

Specialties & Taxonomy Codes

Specialty
Case Management
Early Intervention Provider Agency

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