NEVADA REHAB LLC NPI 1003451584

NPI Information

NEVADA REHAB LLC is a substance abuse rehabilitation facility in Las Vegas, NV. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NEVADA REHAB LLC NPI is 1003451584. The provider is registered as an organization entity type.
The provider Is Doing Business As Vance Johnson Recovery Center.

The provider's business location address is:

2651 WESTWOOD DR
LAS VEGAS, NV
ZIP 89109-117
Phone: (888) 828-2623

The provider's authorized official is Brenda Lee Jones .
The authorized official title is Revenue Cycle Director and has the following contact phone number (352) 597-5075.

The CLIA number assigned to this NPI record is 29D2172771 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2019 and was last updated on 9/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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