A Life Well Lived
Organization Active NPI Community/Behavioral Health Agency · Las Vegas, NV
NPI 1558720656 · NPPES record last updated Feb 17, 2016
Key facts
- NPI
- 1558720656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- A LIFE WELL LIVED
- Practice address
- 2441 Tech Center CT
Las Vegas, NV 89128-0804 - Phone
- (702) 767-5396
- NPI assigned
- Feb 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Lloyd Owen Cervantes
- Title
- Owner
- Phone
- (702) 767-5396
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2441 Tech Center CT
Las Vegas, NV 89128-0804
Mailing address
10525 Hamdem Ave
Las Vegas, NV 89129-6444
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All providers in Las Vegas, NV · Community/Behavioral Health Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.