OrganizationActive
360 Medhp LLC
NPI 1336763903 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Las Vegas, NV
Provider details
- NPI number
- 1336763903
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mayzine Ayala, Managing Member(702) 980-9624
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2110 E Flamingo Rd Ste 360
Las Vegas, NV 89119-5190
Phone: (702) 559-4751
Approximate (ZIP-level) locationGet directions
Mailing address
2110 E Flamingo Rd Ste 360
Las Vegas, NV 89119-5190
Registry dates
- Enumerated
- 2020-05-29
- Last updated
- 2020-05-29
- Certified
- 2020-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.