SPRUCE OAK RESIDENTIAL CARE FACILITY NPI 1164825022

NPI Information

SPRUCE OAK RESIDENTIAL CARE FACILITY is an assisted living and mental illness assisted living facility in North Las Vegas, NV. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. SPRUCE OAK RESIDENTIAL CARE FACILITY NPI is 1164825022. The provider is registered as an organization entity type.

The provider's business location address is:

4618 SPRUCE OAK DR
NORTH LAS VEGAS, NV
ZIP 89031-179
Phone: (702) 462-2031

The provider's authorized official is Melissa St Jean .
The authorized official title is Manager and has the following contact phone number (702) 235-9644.

The enumeration date for this NPI number is 10/6/2014 and was last updated on 11/25/2014.

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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