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NPI Code Detail

MEDICARE: GOD LOVES EVERYTHING ABOUT ME, INC

MEDICARE: GOD LOVES EVERYTHING ABOUT ME, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2103K00000XBehavior Analyst
3251C00000XDevelopmentally Disabled Services Day Training Agency
4251S00000XCommunity/Behavioral Health Agency
5171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1871819375
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOD LOVES EVERYTHING ABOUT ME, INC
Provider Business Mailing Address
First Line : PO BOX 335983
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89033-5983
Country : US
Telephone Number : 702-787-4341
Fax Number :
Provider Business Practice Location Address
First Line : 4717 BOULDER BAY ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3295
Country : US
Telephone Number : 702-787-4341
Fax Number :
Authorized Official
Title or Position : CO-DIRECTOR
Name : LATIA WHITE
Credential :
Telephone Number : 702-787-4341
Provider Enumeration Date : 04/09/2010
Last Update Date : 04/09/2010

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Directions to “GOD LOVES EVERYTHING ABOUT ME, INC ” Practice Location

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