NPI | 1356806061 |
---|---|
Doing Business As | SILVER STATE HEALTH AT RENAISSANCE |
Entity Type | Organization |
Authorized Contact | PAULINE MAH COO 702-471-0420 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2022-03-31 |