State of Nevada

NPI #1902074826 in Dayton, Nevada

Provider Information

NPI Number: 1902074826
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Case Management
Enumeration Date: Feb 13, 2008
Last Updated: Feb 13, 2008

Practice Location

Address: 120 PIKE ST
City: Dayton
State: Nevada
ZIP Code: 89403-6758
Phone: (775) 246-5240

Authorized Official

Name: SIRI MCMILLIN
Title: BILLING SUPERVISOR
Phone: (775) 687-7573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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