MEDICARE: DOVES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	302F00000X	Exclusive Provider Organization
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1154696722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOVES

Provider Business Mailing Address
First Line	:	3717 KING CHARLES ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-4422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3053 W CRAIG RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-5124
Country	:	US
Telephone Number	:	702-808-1261
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANDRIONNA WILLIAMS
Credential	:
Telephone Number	:	702-808-1261

Provider Enumeration Date	:	03/15/2012
Last Update Date	:	03/15/2012

Similar Medicare Providers

1811262488 — ANDRIONNA L WILLIAMS BA
Practice Location Address:

3053 W CRAIG RD
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89032-5124

Practice Phone: 702-808-1261
Practice Fax:

1124498209 — TOP PRIORITY CARE SERVICES, LLC.
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1316317340 — JERSIAH BENNETT
Practice Location Address:

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1053779397 — MRS. TAMMY RANDOLPH
Practice Location Address:

3053 W CRAIG RD # 192
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1497115927 — ESTRELLA SALAZAR
Practice Location Address:

3053 W CRAIG RD , UNIT E-288
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Practice Fax:

1316486392 — TENESIA M WESLEY
Practice Location Address:

3053 W CRAIG RD , SUITE 144
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Directions to “DOVES ” Practice Location

Language	Start Address	Practice Location

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