| Crest Healthcare Inc. | |
|
3651 Lindell Rd D748 Las Vegas NV 89103-1254 | |
| (702) 544-0355 | |
| Not Available |
| Full Name | Crest Healthcare Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3651 Lindell Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Shawneca Beckum (PRESIDENT/CEO) |
| Authorized Official Contact | 7025893095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crest Healthcare Inc. 3651 Lindell Rd D748 Las Vegas NV 89103-1254 Ph: (702) 589-3095 | Crest Healthcare Inc. 3651 Lindell Rd D748 Las Vegas NV 89103-1254 Ph: (702) 544-0355 |
| NPI Number | 1033555958 |
|---|---|
| Provider Enumeration Date | 05/18/2013 |
| Last Update Date | 03/05/2021 |
| Certification Date | 08/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033555958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Nevada) | Primary |
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