Provider Demographics
NPI:1316737638
Name:ALDILOU WEST LLC
Entity type:Organization
Organization Name:ALDILOU WEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER LLC/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:MIZENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:700-454-5565
Mailing Address - Street 1:1371 W WARM SPRINGS RD STE B
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-8068
Mailing Address - Country:US
Mailing Address - Phone:702-431-1300
Mailing Address - Fax:702-431-1324
Practice Address - Street 1:1371 W WARM SPRINGS RD STE B
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-8068
Practice Address - Country:US
Practice Address - Phone:702-431-1300
Practice Address - Fax:702-431-1324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty