Healthcare Provider Details
I. General information
NPI: 1730658998
Provider Name (Legal Business Name): CHANGING TOMORROWS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/17/2018
Last Update Date: 11/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3620 MARKAM ST
LAS VEGAS NV
89121-2922
US
IV. Provider business mailing address
3620 MARKAM ST
LAS VEGAS NV
89121-2922
US
V. Phone/Fax
- Phone: 702-491-2847
- Fax: 702-605-8103
- Phone: 702-491-2847
- Fax: 702-605-8103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JEFFREY
J
LASPINA
Title or Position: CO-OWNER - CFO
Credential: MA
Phone: 702-491-2847