Provider Demographics
NPI:1023572658
Name:NEVADA FIRST CHOICE
Entity Type:Organization
Organization Name:NEVADA FIRST CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-203-5591
Mailing Address - Street 1:6524 COPPER SMITH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2216
Mailing Address - Country:US
Mailing Address - Phone:702-203-5591
Mailing Address - Fax:
Practice Address - Street 1:209 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1269
Practice Address - Country:US
Practice Address - Phone:702-203-5591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities