MEDICARE: HUMAN RESOURCES DEVELOPMENT INSTITUTE,INC

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
1	251S00000X	Community/Behavioral Health Agency	2000040.960	NV

General Provider Information

NPI Number	:	1295967875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN RESOURCES DEVELOPMENT INSTITUTE,INC

Provider Business Mailing Address
First Line	:	3365 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7440
Country	:	US
Telephone Number	:	702-933-1156
Fax Number	:

Provider Business Practice Location Address
First Line	:	3365 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7440
Country	:	US
Telephone Number	:	702-933-1156
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF BUDGET AND CONTRACT
Name	:	MS. RENZY RICHARDSON
Credential	:
Telephone Number	:	312-441-9009

Provider Enumeration Date	:	08/17/2009
Last Update Date	:	08/17/2009

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