Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF NEVADA - DV MH/DS SIERRA DEV CENTER
Active OrganizationICF/Individuals with Intellectual Disabilities · SPARKS, NV
Registration Details
- NPI Number
- 1942385133
- Provider Type
- Organization
- NPI Issued
- Oct 26, 2006 (19.48757662025 yrs)
- Last Updated
- Jun 19, 2008
- License
-
708IMR-14 (NV)
Practice Information
- Address
-
605 S 21ST STSPARKS, NV, 894318100Browse NV providers · Browse ZIP 89431
- Phone
- 7756881930
- Fax
- 7756881950
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.