| The Shade Tree Inc | |
|
1 W Owens Ave North Las Vegas NV 89030-6865 | |
| (702) 385-0072 | |
| (702) 385-2337 |
| Full Name | The Shade Tree Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1 W Owens Ave, North Las Vegas, Nevada |
| Authorized Official Name and Position | Marlene Richter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7023820072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shade Tree Inc Po Box 669 Las Vegas NV 89125-0669 Ph: (702) 385-0072 | The Shade Tree Inc 1 W Owens Ave North Las Vegas NV 89030-6865 Ph: (702) 385-0072 |
| NPI Number | 1073936639 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 01/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073936639 | NPI | - | NPPES |
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