NPI Profile for JERISSA PLUMMER in NORTH LAS VEGAS, NV.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI # | 1790149151 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/11/2016 | |
| Last updated | 04/11/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JERISSA PLUMMER
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