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NPI Code Detail

MEDICARE: WE ARE HOPE TRANSITIONAL LIVING SOLUTIONS

MEDICARE: WE ARE HOPE TRANSITIONAL LIVING SOLUTIONS
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
1177F00000XLodging ProviderNV201708171149107NV
23245S0500XChildren's Substance Abuse Rehabilitation FacilityNV201708171149107NV
3324500000XSubstance Abuse Rehabilitation FacilityNV201708171149107NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619494341
Entity Type Code : Organization
Provider Name (Legal Business Name) : WE ARE HOPE TRANSITIONAL LIVING SOLUTIONS
Provider Business Mailing Address
First Line : 2575 MONTESSOURI ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3059
Country : US
Telephone Number : 702-485-5020
Fax Number : 702-485-5083
Provider Business Practice Location Address
First Line : 2575 MONTESSOURI ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3059
Country : US
Telephone Number : 702-485-5020
Fax Number : 702-485-5083
Authorized Official
Title or Position : CEO
Name : VIRGINIA MAE KENDRID
Credential :
Telephone Number : 702-506-7846
Provider Enumeration Date : 08/24/2017
Last Update Date : 07/21/2022

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Directions to “WE ARE HOPE TRANSITIONAL LIVING SOLUTIONS ” 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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