Healthcare Provider Details

I. General information

NPI: 1528491180
Provider Name (Legal Business Name): RUAHH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2013
Last Update Date: 08/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 RUSTRIDGE AVE
N LAS VEGAS NV
89081-6658
US

IV. Provider business mailing address

1009 RUSTRIDGE AVE
N LAS VEGAS NV
89081-6658
US

V. Phone/Fax

Practice location:
  • Phone: 702-348-2974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. ALONZO C RUTHERFORD
Title or Position: OWNER
Credential:
Phone: 702-348-2974