MRS. JANUARY BLUE
Custodial Care Facility - Adult Care Home
Active
Individual
NPI: 1750782595
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Custodial Care Facility - Adult Care Home | 311ZA0620X | Yes | 5002AGC-12 (NV) |
Frequently Asked Questions
NPI 1750782595 is the National Provider Identifier for MRS. JANUARY BLUE, a Custodial Care Facility - Adult Care Home provider located in N Las Vegas, NV. This NPI was enumerated on September 11, 2014.
MRS. JANUARY BLUE practices at 1013 STONEYPEAK AVE, N Las Vegas, NV 89081.
Quick Facts
- NPI
- 1750782595
- Type
- Individual
- Enumerated
- Sep 11, 2014
- Last Updated
- Sep 15, 2014
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