Ida's House
Ida's House is an Exclusive Provider Organization in North las Vegas, Nevada. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
4022 Allyson Rae StNorth las Vegas, NV 89032-0258
Phone: (702) 612-6787
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1831587906 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Connie Glenn — Ceo · (702) 612-6787 |
| NPI enumerated | December 24, 2014 |
| Last updated in NPPES | December 24, 2014 |
| Mailing address | 8665 W Flamingo Rd, Ste # 131, Las Vegas, NV 89147-8621 |