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NPI Code Detail

MEDICARE: MAJESTIC COMMUNITY SERVICES

MEDICARE: MAJESTIC COMMUNITY SERVICES
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
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility01039NV

General Provider Information

NPI Number : 1093959959
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAJESTIC COMMUNITY SERVICES
Provider Business Mailing Address
First Line : 3680 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3180
Country : US
Telephone Number : 702-869-4300
Fax Number : 702-869-4301
Provider Business Practice Location Address
First Line : 3680 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3180
Country : US
Telephone Number : 702-869-4300
Fax Number : 702-869-4301
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. CONSTANCE KNIGHT FIELD
Credential : MFT
Telephone Number : 702-869-4300
Provider Enumeration Date : 04/22/2009
Last Update Date : 04/22/2009

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Directions to “MAJESTIC COMMUNITY SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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