NPI | 1669870150 |
---|---|
Other Name | RAGE |
Entity Type | Organization |
Authorized Contact | REGGIE BENNETT Executive Director 702-333-1039 |
Organization Subpart ? | No |
Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
Additional Taxonomies | 171WV0202X Contractor, Vehicle Modifications |
251B00000X Case Management | |
251X00000X | |
Enumeration Date | 2014-12-15 |
Last Update Date | 2014-12-15 |