Provider Demographics
NPI:1215310941
Name:NILE VALLEY SOLUTIONS OF NEVADA, LLC
Entity type:Organization
Organization Name:NILE VALLEY SOLUTIONS OF NEVADA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REHABILITATION PRACTITIONER
Authorized Official - Prefix:PROF
Authorized Official - First Name:WILLETT
Authorized Official - Middle Name:L
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-573-3243
Mailing Address - Street 1:5830 BARBOSA DR
Mailing Address - Street 2:UNIT 5
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031
Mailing Address - Country:US
Mailing Address - Phone:702-573-3243
Mailing Address - Fax:
Practice Address - Street 1:5830 BARBOSA DR
Practice Address - Street 2:UNIT 5
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-4148
Practice Address - Country:US
Practice Address - Phone:702-573-3243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20151094733251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health