National Provider Identifier Database

NV ST DV MH DS DESERT DEV CENTER
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

NV ST DV MH DS DESERT DEV CENTER
1391 S JONES BLVD
LAS VEGAS, NV89146-1200
Phone: 702-486-6200
Fax:
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for NV ST DV MH DS DESERT DEV CENTER

NPI Number 1144681909
Legal business name
LBN
NV ST DV MH DS DESERT DEV CENTER
Authorized official MICHELLE ASHCRAFT - (ADMINISTRATIVE SERVICES OFFICER III)
Entity Organization
Organization subpart No
Enumeration date 03/08/2016
Last updated 02/03/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers 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.

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