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General NPI Number Information
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NPI Number | 1962706796
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Entity Type | Organization
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Legal Business Name | CLARITY CARE LLC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 3651 LINDELL RD SUITE D#118
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City | LAS VEGAS
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State | NV
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Zip | 89103-1254
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Country | US
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Telephone | 702-943-0268
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Fax | 702-565-4671
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Provider Business Mailing Address
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Address Line | 3651 LINDELL RD SUITE D#118
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City | LAS VEGAS
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State | NV
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Zip | 89103-1254
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Country | US
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Telephone | 702-943-0268
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Fax | 702-565-4671
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Authorized Official
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Title or Position | OWNER / MANAGER
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Name | MRS. DOROTHY M CONNER
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Credential |
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Telephone | 702-943-0268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | E0567972010-5
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License Number State | NV
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