OrganizationActive
Quality Independent Care
NPI 1366724700 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Las Vegas, NV
Provider details
- NPI number
- 1366724700
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jon Watase, Owner(702) 400-3819
Specialties & taxonomies
Residential Treatment Facilities
Practice location
6298 Mesosphere Ct
Las Vegas, NV 89110-5043
Phone: (702) 400-3819
Approximate (ZIP-level) locationGet directions
Mailing address
2353 Moonlite Dr
Las Vegas, NV 89115-5305
Registry dates
- Enumerated
- 2011-09-12
- Last updated
- 2011-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.