Provider Demographics
NPI:1104161355
Name:EQUAL HOUSING OPPORTUNITY INC
Entity type:Organization
Organization Name:EQUAL HOUSING OPPORTUNITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:LINNETTE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-491-1265
Mailing Address - Street 1:1264 MOON VISION ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4007
Mailing Address - Country:US
Mailing Address - Phone:702-491-1265
Mailing Address - Fax:702-453-8874
Practice Address - Street 1:1264 MOON VISION ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4007
Practice Address - Country:US
Practice Address - Phone:702-491-1265
Practice Address - Fax:702-453-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV305S00000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No305S00000XManaged Care OrganizationsPoint of Service