National Provider Identifier Database

JERISSA PLUMMER
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

JERISSA PLUMMER
4956 DRIFTING PEBBLE ST
NORTH LAS VEGAS, NV89081-3057
Phone: 608-512-3251
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for JERISSA PLUMMER

NPI Number 1790149151
Credentials
Entity Individual
Enumeration date 04/11/2016
Last updated 04/11/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JERISSA PLUMMER

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