OrganizationActive
360 Habilitation LLC
NPI 1265315220 · Developmentally Disabled Services Day Training Agency · Las Vegas, NV
Provider details
- NPI number
- 1265315220
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Authorized official
- Keonta Scruggs, Owner/Ceo
Practice location
6605 Grand Montecito Pkwy Ste 100
Las Vegas, NV 89149-0210
Phone: (702) 403-3089
Mailing address
6605 Grand Montecito Pkwy Ste 100
Las Vegas, NV 89149-0210
Registry dates
- Enumerated
- 2025-07-28
- Last updated
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.