Elevate Life

NPI 1033436787 - Counselor - 101YM0800X

NPI Details
NPI 1033436787
Enumeration Date 04/20/2010
Last Updated 04/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WILLIE PEARL WILLIE
Position OWNER
Phone (702) 630-5009
Fax
Practice Location
2605 RAINBOW GLOW ST
NORTH LAS VEGAS NV, 89030-3709, US
Phone (702) 630-5009
Fax
Business Location
2605 RAINBOW GLOW ST
NORTH LAS VEGAS NV, 89030-3709, US
Phone (702) 630-5009
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Elevate Life NPI is 1033436787, taxonomy code is 101YM0800X Elevate Life physically located at 2605 Rainbow Glow St, North Las Vegas NV, 89030-3709. NPI Number 1033115704 has the healthcare provider type.

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1033436787 NPI number is provided on an as is basis without warranty of any kind. 1033436787 is maintained by the National Plan & Provider Enumeration System. The contents of Elevate Life are for informational purposes only.