NPI Lookup
NPPES Search
Providers by State
Blog
Home
1831587906
IDA'S HOUSE
NORTH LAS VEGAS, NV
NPI
1831587906
Copy
Entity Type
Organization
Authorized Contact
CONNIE GLENN
CEO
702-612-6787
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2014-12-24
Last Update Date
2014-12-24
Business Address
IDA'S HOUSE
4022 ALLYSON RAE ST
NORTH LAS VEGAS, NV 89032-0258
Phone number: 702-612-6787
Copy
Mailing Address
IDA'S HOUSE
8665 W FLAMINGO RD STE # 131
LAS VEGAS, NV 89147-8621
Phone number: 702-612-6787
Copy